Licking Memorial Professional Corporation in Newark - Geriatric Medicine
Licking Memorial Professional Corporation - NPI 1962684084
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 1962684084. The last update date is 2007-11-30.
Licking Memorial Professional Corporation's current location address is 75 Mcmillen Dr, Newark, Ohio. You can contact this provider via phone number 7403487935 and fax number 7403487936. The mailing address for Licking Memorial Professional Corporation is 75 Mcmillen Dr, Newark, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Licking Memorial Professional Corporation |
|---|---|
| Address | 75 Mcmillen Dr, 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 | 1962684084 |
|---|---|
| Provider Enumeration Date | 2007-11-30 |
| Last Updated Date | 2007-11-30 |
Provider Mailing Address Detail
| Address | 75 Mcmillen Dr |
|---|---|
| City | Newark |
| State | Ohio (OH) |
| Post Code | 430551808 |
| 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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Post Comment/ Review Below
What is the unique 10-digit 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) 1962684084, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Licking Memorial Professional Corporation?
The Licking Memorial Professional Corporation is physically situated at 75 Mcmillen Dr, in the city of Newark, state of OH, with the postal code 430551808.
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 was the Licking Memorial Professional Corporation's 1962684084 issued?
The Licking Memorial Professional Corporation's 1962684084 was issued on 2007-11-30.
As of what date were the details related to Licking Memorial Professional Corporation most recently updated or revised?
The information pertaining to Licking Memorial Professional Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-30.
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