Licking Memorial Professional Corp in Newark - Pediatrics
Licking Memorial Professional Corp - NPI 1083634414
Licking Memorial Professional Corp is a Pediatrics in Newark, Ohio. Licking Memorial Professional Corp practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Licking Memorial Professional Corp is 1083634414. The last update date is 2020-08-22.
Licking Memorial Professional Corp's current location address is 1865 Tamarack Rd, Newark, Ohio. You can contact this provider via phone number 7403484940 and fax number 7403484948. The mailing address for Licking Memorial Professional Corp is 1865 Tamarack Rd, Newark, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Licking Memorial Professional Corp |
|---|---|
| Address | 1865 Tamarack Rd, Newark, Ohio |
| Phone Number | 7403484940 |
| Fax Number | 7403484948 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Montagnese A. Robert |
| Telephone Number | 7403484000 |
NPI Number Detail
| NPI Number | 1083634414 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1865 Tamarack Rd |
|---|---|
| City | Newark |
| State | Ohio (OH) |
| Post Code | 430552305 |
| Phone Number | 7403484940 |
| Fax Number | 7403484948 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 617194 | OH | -- |
Post Comment/ Review Below
What is the unique 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) 1083634414. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (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: 1865 Tamarack Rd, Newark, OH, 430552305.
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 Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
When did Licking Memorial Professional Corp receive its 1083634414 assignment?
The Licking Memorial Professional Corp was assigned its 1083634414 on 2006-07-20, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Licking Memorial Professional Corp, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Licking Memorial Professional Corp, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.