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LICKING MEMORIAL PROFESSIONAL CORPORATION NPI 1326436510


NPI Information

NPI: 1326436510
Provider Name: LICKING MEMORIAL PROFESSIONAL CORPORATION

Doing Business As: LICKING MEMORIAL ORTHOPEDIC DME

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1717 W MAIN ST
SUITE 201
NEWARK, OH
ZIP 43055
Phone: (220) 564-2900
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LICKING MEMORIAL PROFESSIONAL CORPORATION is a durable medical equipment medical supplies in Newark, OH. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. LICKING MEMORIAL PROFESSIONAL CORPORATION NPI is 1326436510. The provider is registered as an organization entity type.
The provider Is Doing Business As Licking Memorial Orthopedic Dme.

The provider's business location address is:

1717 W MAIN ST
SUITE 201
NEWARK, OH
ZIP 43055-347
Phone: (220) 564-2900
Fax: (220) 564-2901

The provider's authorized official is Cynthia L. Webster .
The authorized official title is Vp Financial Services and has the following contact phone number (220) 564-4000.

The enumeration date for this NPI number is 12/23/2014 and was last updated on 9/12/2016.


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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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

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