Licking Memorial Professional Corp in Newark - Geriatric Medicine
Licking Memorial Professional Corp - NPI 1497937510
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 1497937510. The last update date is 2007-11-30.
Licking Memorial Professional Corp's current location address is 1450 W Main 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 1450 W Main St, Newark, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Licking Memorial Professional Corp |
|---|---|
| Address | 1450 W Main 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 | 1497937510 |
|---|---|
| Provider Enumeration Date | 2007-11-30 |
| Last Updated Date | 2007-11-30 |
Provider Mailing Address Detail
| Address | 1450 W Main St |
|---|---|
| City | Newark |
| State | Ohio (OH) |
| Post Code | 430551825 |
| 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 |
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What is the unique 10-digit identification code assigned to Licking Memorial Professional Corp by the Centers for Medicare & Medicaid Services?
The Licking Memorial Professional Corp has been issued the NPI (National Provider Identifier) 1497937510, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Licking Memorial Professional Corp located?
The Licking Memorial Professional Corp is located at 1450 W Main St, Newark, OH 430551825.
What is the Licking Memorial Professional Corp's specialty and taxonomy code?
The Licking Memorial Professional Corp's specialty is Geriatric Medicine, and the corresponding taxonomy code is 207Qg0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497937510 to Licking Memorial Professional Corp?
The Centers for Medicare & Medicaid Services assigned the 1497937510 to Licking Memorial Professional Corp 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.
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