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DR. MICAH MARSHALL LIKNESS M.D. NPI 1124269162

NPI Profile

NPI: 1124269162

Provider Name: DR. MICAH MARSHALL LIKNESS, M.D.

Classification: Student in an Organized Health Care Education/Training Program - 390200000X

Entity Type: Individual

Organization: EAR NOSE AND THROAT ASSOCIATES PC

PECOS Registration: Yes

Address:
2525 FOX RUN PARKWAY
SUITE 101
YANKTON, SD
ZIP 57078

Phone: (605) 665-0062

DR. Micah Marshall Likness, M.D. is a student in an organized health care education/training program in Yankton, SD with 7 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Micah Marshall Likness, M.D. NPI is 1124269162. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

2525 FOX RUN PARKWAY
SUITE 101
YANKTON, SD
ZIP 57078-371
Phone: (605) 665-0062
Fax: (605) 665-0076

The NPI 1124269162 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 3/22/2009 and was last updated on 8/2/2013.

Map - Location of Practice

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 390200000X Student in an Organized Health Care Education/Training Program No
2 207Y00000X Otolaryngology 8836 SOUTH DAKOTA Yes

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: 8/11/2015