Licking Memorial Professional Corp. in Newark - Preventive Medicine/occupational Environmental Medicine
Licking Memorial Professional Corp. - NPI 1891715223
Licking Memorial Professional Corp. is a Preventive Medicine/occupational Environmental Medicine in Newark, Ohio. Licking Memorial Professional Corp. practices all healthcare services and medical treatments related to Preventive Medicine/occupational Environmental Medicine. The NPI Number for Licking Memorial Professional Corp. is 1891715223. 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 7403484972 and fax number 7403484991. 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 | 7403484972 |
| Fax Number | 7403484991 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Montagense A. Robert |
| Telephone Number | 7403484000 |
NPI Number Detail
| NPI Number | 1891715223 |
|---|---|
| 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 | 7403484972 |
| Fax Number | 7403484991 |
Provider's Primary Taxonomy Detail
| Speciality | Preventive Medicine/occupational Environmental Medicine |
|---|---|
| Taxonomy | 2083P0500X |
|
Definition: A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2354134 | OH | -- |
Post Comment/ Review Below
What is the Licking Memorial Professional Corp.'s unique identification number?
The Licking Memorial Professional Corp. has been assigned the NPI (National Provider Identifier) Number 1891715223 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
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: 1865 Tamarack Rd, Newark, OH, 430552305.
What is the area of specialization for Licking Memorial Professional Corp., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Licking Memorial Professional Corp. is Preventive Medicine/occupational Environmental Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2083P0500X.
On what date did Licking Memorial Professional Corp. receive its 1891715223 assignment from the Centers for Medicare & Medicaid Services?
The Licking Memorial Professional Corp. was assigned its 1891715223 on 2006-07-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Licking Memorial Professional Corp.'s information last updated?
The Licking Memorial Professional Corp.'s information was last updated on 2020-08-22.