LICKING MEMORIAL PROFESSIONAL CORP is a family medicine in Pataskala, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LICKING MEMORIAL PROFESSIONAL CORP NPI is 1851325526. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Licking Memorial Family Practice Pataskala.
The provider's business location address is:
1 HEALTHY PL
SUITE 101
PATASKALA, OH
ZIP 43062-067
Phone: (740) 348-1900
Fax: (740) 348-1901
The provider's authorized official is Robert A. Montagnese .
The authorized official title is Executive V.p. and has the following contact phone number (740) 348-4000.
The CLIA number assigned to this NPI record is 36D0987961 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/10/2006 and was last updated on 8/22/2020.