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GARY D LICHTEN MD INC NPI 1922213388


NPI Information

NPI: 1922213388
Provider Name: GARY D LICHTEN MD INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
157 W CEDAR ST
STE. 201
AKRON, OH
ZIP 44307
Phone: (330) 253-7164
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GARY D LICHTEN MD INC is a specialist in Akron, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GARY D LICHTEN MD INC NPI is 1922213388. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

157 W CEDAR ST
STE. 201
AKRON, OH
ZIP 44307-564
Phone: (330) 253-7164
Fax: (330) 434-3376

The provider's authorized official is Gary D Lichten .
The authorized official title is President and has the following contact phone number (330) 253-7164.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 5/5/2010.


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
1174400000XSpecialist35038945OHIOYes

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
10368963MEDICAIDOHIO
2LI0444202MEDICARE ID-TYPE UNSPECIFIEDOHIO
3A77451MEDICARE UPINOHIO

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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