Licht, Myron B
Licht, Myron B is an individual health care provider with primary practice located at 1750 Thompson Rd , Coos Bay OR 97420-2100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Licht, Myron B can be contacted via phone (541) 269-0333.Contact Information
Primary practice address
1750 Thompson Rd
Coos Bay OR 97420-2100
Phone: (541) 269-0333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | DO158099 | Oregon |
Profile Details
| NPI number | 1427131226 |
|---|---|
| LBN Legal business name | Licht, Myron B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Feb 27th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427131226 | NPPES |
| Oregon | MEDICAID | 151994 |
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