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LICKING MEMORIAL PROFESSIONAL CORP NPI 1972702512


NPI Information

NPI: 1972702512
Provider Name: LICKING MEMORIAL PROFESSIONAL CORP

Doing Business As: LICKING MEMORIAL HEART CENTER

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1320 WEST MAIN STREET
NEWARK, OH
ZIP 43055
Phone: (740) 348-7750
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LICKING MEMORIAL PROFESSIONAL CORP is a cardiovascular disease internal medicine in Newark, OH. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. LICKING MEMORIAL PROFESSIONAL CORP NPI is 1972702512. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Licking Memorial Heart Center.

The provider's business location address is:

1320 WEST MAIN STREET
NEWARK, OH
ZIP 43055-822
Phone: (740) 348-7750
Fax: (740) 348-7751

The provider's authorized official is Cynthia L Webster .
The authorized official title is Vp Financial Services and has the following contact phone number (740) 348-4027.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 11/12/2010.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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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