Licking Memorial Professional Corp. in Newark - Geriatric Medicine
Licking Memorial Professional Corp. - NPI 1598945818
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 1598945818. The last update date is 2007-11-05.
Licking Memorial Professional Corp.'s current location address is 717 S 30th 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 717 S 30th St, Newark, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Licking Memorial Professional Corp. |
|---|---|
| Address | 717 S 30th 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 | 1598945818 |
|---|---|
| Provider Enumeration Date | 2007-11-05 |
| Last Updated Date | 2007-11-05 |
Provider Mailing Address Detail
| Address | 717 S 30th St |
|---|---|
| City | Newark |
| State | Ohio (OH) |
| Post Code | 430561244 |
| 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 (CMS)?
The Licking Memorial Professional Corp. has been assigned the NPI (National Provider Identifier) 1598945818. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Licking Memorial Professional Corp.'s facilities are situated?
The facilities of Licking Memorial Professional Corp. are physically located at the following address: 717 S 30Th St, Newark, OH, 430561244.
What is Licking Memorial Professional Corp.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Licking Memorial Professional Corp. is Geriatric Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qg0300X.
On what date did the Licking Memorial Professional Corp. receive the assignment of its 1598945818 from the Centers for Medicare & Medicaid Services?
The Licking Memorial Professional Corp. was issued its 1598945818 by the Centers for Medicare & Medicaid Services on 2007-11-05.
When was the information regarding Licking Memorial Professional Corp., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Licking Memorial Professional Corp., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-05.
NPI Number: 1487640876
Address: 587 5th St W, Sonoma, CA