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MS. MARY BETH LICHTY PAC NPI 1609948587


NPI Information

NPI: 1609948587
Provider Name: MS. MARY BETH LICHTY, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
341 SPRUCE ST
MORGANTOWN, WV
ZIP 26505
Phone: (304) 292-8234
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MS. Mary Beth Lichty, PAC is a medical physician assistant in Morgantown, WV. MS. Mary Beth Lichty, PAC NPI is 1609948587. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

341 SPRUCE ST
MORGANTOWN, WV
ZIP 26505-504
Phone: (304) 292-8234
Fax: (304) 284-0133

The enumeration date for this NPI number is 11/15/2006 and was last updated on 12/10/2008.


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
1363A00000XPhysician AssistantPA9103568FLORIDANo
2363AM0700XPhysician AssistantMedical01384WEST VIRGINIAYes

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: 4/28/2024

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