Jack R Lichtenstein, Md Llc

LBN: Jack R Lichtenstein, Md Llc
Jack R Lichtenstein, Md Llc is an health care organization with primary practice located at 205 Ridgely Ave , Annapolis MD 21401. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is the primary health care specialty. Jack R Lichtenstein, Md Llc can be contacted via phone (410) 263-6910, or through Lichtenstein, Jack R. via phone (410) 268-6910.

Contact Information

Primary practice address
205 Ridgely Ave Annapolis MD 21401
Phone: (410) 263-6910
Fax: (443) 433-0456
Website:
Map and Directions
Authorized official contact:
Name: Lichtenstein, Jack R. Doctor of Medicine (MD)
Phone: (410) 268-6910

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D08194 Maryland
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X D08194 Maryland
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X D0008194 Maryland
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X D0065841 Maryland

Profile Details

NPI number 1043288087
LBN Legal business name Jack R Lichtenstein, Md Llc
DBA Doing business as
Authorized official Lichtenstein, Jack R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 8th, 2006
Last updated Aug 1st, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043288087 NPPES
Maryland Other 3304001 CAREFIRST
Maryland Other J1740003 CAREFIRST
Maryland MEDICAID 785361100 CAREFIRST

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