Licking Memorial Professional Corp. in Pataskala - Pediatrics

Licking Memorial Professional Corp. - NPI 1144240581

Licking Memorial Professional Corp. is a Pediatrics in Pataskala, Ohio. Licking Memorial Professional Corp. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Licking Memorial Professional Corp. is 1144240581. The last update date is 2014-10-13.

Licking Memorial Professional Corp.'s current location address is 1 Healthy Pl, Pataskala, Ohio. You can contact this provider via phone number 7403481925 and fax number 7403481926. The mailing address for Licking Memorial Professional Corp. is 1 Healthy Pl, Pataskala, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Licking Memorial Professional Corp.
Address 1 Healthy Pl, Pataskala, Ohio
Phone Number 7403481925
Fax Number 7403481926
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VP FINANCI
Authorized Official Name Webster L. Cynthia
Telephone Number 7403484000

NPI Number Detail

NPI Number 1144240581
Provider Enumeration Date 2006-07-20
Last Updated Date 2014-10-13

Provider Mailing Address Detail

Address 1 Healthy Pl
City Pataskala
State Ohio (OH)
Post Code 43062
Phone Number 7403481925
Fax Number 7403481926

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
2596767 OH --

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FAQs about Licking Memorial Professional Corp.

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) 1144240581, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Licking Memorial Professional Corp. is located?

The Licking Memorial Professional Corp. is situated at the following address: 1 Healthy Pl, Pataskala, OH, 43062.

What is Licking Memorial Professional Corp.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Licking Memorial Professional Corp.'s area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1144240581 to Licking Memorial Professional Corp.?

The Centers for Medicare & Medicaid Services originally issued the 1144240581 to Licking Memorial Professional Corp. on 2006-07-20.

As of what date were the Licking Memorial Professional Corp.'s details last updated?

The information pertaining to the Licking Memorial Professional Corp., including its address, specialty, and other details, was most recently updated on 2014-10-13.

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