Licking Memorial Professional Corporation in Newark - Geriatric Medicine
Licking Memorial Professional Corporation - NPI 1952581274
Licking Memorial Professional Corporation is a Geriatric Medicine in Newark, Ohio. Licking Memorial Professional Corporation practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Licking Memorial Professional Corporation is 1952581274. The last update date is 2007-11-05.
Licking Memorial Professional Corporation's current location address is 151 Price Rd, Newark, Ohio. You can contact this provider via phone number 7403487935 and fax number 7403487936. The mailing address for Licking Memorial Professional Corporation is 151 Price Rd, Newark, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Licking Memorial Professional Corporation |
|---|---|
| Address | 151 Price Rd, 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 | 1952581274 |
|---|---|
| Provider Enumeration Date | 2007-11-05 |
| Last Updated Date | 2007-11-05 |
Provider Mailing Address Detail
| Address | 151 Price Rd |
|---|---|
| City | Newark |
| State | Ohio (OH) |
| Post Code | 430553317 |
| 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 identification code assigned to Licking Memorial Professional Corporation by the Centers for Medicare & Medicaid Services?
The Licking Memorial Professional Corporation has been issued the NPI (National Provider Identifier) 1952581274. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Licking Memorial Professional Corporation is physically located?
The Licking Memorial Professional Corporation is physically situated at the following address: 151 Price Rd, Newark, OH, 430553317.
What is Licking Memorial Professional Corporation's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Licking Memorial Professional Corporation is Geriatric Medicine, and the taxonomy code that categorizes this field of expertise is 207Qg0300X.
When did Licking Memorial Professional Corporation receive its 1952581274 assignment?
The Licking Memorial Professional Corporation was assigned its 1952581274 on 2007-11-05, which is the date when this unique identifier was issued to the organization.
When was the information related to Licking Memorial Professional Corporation most recently updated or refreshed?
The details pertaining to the Licking Memorial Professional Corporation, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-05.
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