Licking Memorial Professional Corp. in Newark - Geriatric Medicine
Licking Memorial Professional Corp. - NPI 1235311358
Licking Memorial Professional Corp. is a Geriatric Medicine in Newark, Ohio. Licking Memorial Professional Corp. practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Licking Memorial Professional Corp. is 1235311358. The last update date is 2007-11-30.
Licking Memorial Professional Corp.'s current location address is 17 Forry St, Newark, Ohio. You can contact this provider via phone number 7403487935 and fax number 7403487936. The mailing address for Licking Memorial Professional Corp. is 17 Forry St, Newark, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Licking Memorial Professional Corp. |
|---|---|
| Address | 17 Forry St, Newark, Ohio |
| Phone Number | 7403487935 |
| Fax Number | 7403487936 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Poulson N. Thomas |
| Telephone Number | 7403484110 |
NPI Number Detail
| NPI Number | 1235311358 |
|---|---|
| Provider Enumeration Date | 2007-11-30 |
| Last Updated Date | 2007-11-30 |
Provider Mailing Address Detail
| Address | 17 Forry St |
|---|---|
| City | Newark |
| State | Ohio (OH) |
| Post Code | 430554004 |
| Phone Number | 7403487935 |
| Fax Number | 7403487936 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
|
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
|
Post Comment/ Review Below
What is the unique identifier code issued to Licking Memorial Professional Corp. by the Centers for Medicare & Medicaid Services?
The Licking Memorial Professional Corp. has been assigned the NPI (National Provider Identifier) 1235311358. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Licking Memorial Professional Corp.'s facilities are geographically located?
The facilities of Licking Memorial Professional Corp. are physically situated at the following location: 17 Forry St, Newark, OH, 430554004.
What is Licking Memorial Professional Corp.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Licking Memorial Professional Corp. is Geriatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qg0300X.
When was the Licking Memorial Professional Corp.'s 1235311358 issued?
The Licking Memorial Professional Corp.'s 1235311358 was issued on 2007-11-30.
When was the Licking Memorial Professional Corp.'s information last updated?
The Licking Memorial Professional Corp.'s information was last updated on 2007-11-30.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN