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:
Authorized official contact:
Name: Lichtenstein, Jack R. Doctor of Medicine (MD)
Phone: (410) 268-6910
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043288087 | NPPES |
| Maryland | Other | 3304001 | CAREFIRST |
| Maryland | Other | J1740003 | CAREFIRST |
| Maryland | MEDICAID | 785361100 | CAREFIRST |
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