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JACK R LICHTENSTEIN MD LLC NPI 1043288087


NPI Information

NPI: 1043288087
Provider Name: JACK R LICHTENSTEIN, MD LLC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
205 RIDGELY AVE
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 263-6910
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JACK R LICHTENSTEIN, MD LLC is a rheumatology internal medicine in Annapolis, MD. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. JACK R LICHTENSTEIN, MD LLC NPI is 1043288087. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

205 RIDGELY AVE
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 263-6910
Fax: (443) 433-0456

The provider's authorized official is Jack R. Lichtenstein .
The authorized official title is Owner and has the following contact phone number (410) 268-6910.

The enumeration date for this NPI number is 3/8/2006 and was last updated on 8/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineD08194MARYLANDNo
2207RR0500XInternal MedicineRheumatologyD08194MARYLANDNo
3207RR0500XInternal MedicineRheumatologyD0065841MARYLANDNo
4207RR0500XInternal MedicineRheumatologyD0008194MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13304001OTHERMARYLANDCAREFIRST
2J1740003OTHERDISTRICT OF COLUMBIACAREFIRST
3796MMEDICARE PINMARYLAND
4D76263MEDICARE UPIN
5785361100MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.