Lichtenhan, Jeffery Thomas

Lichtenhan, Jeffery Thomas is an individual health care provider with primary practice located at 13330 Usf Laurel Dr , Tampa FL 33612-6601. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Lichtenhan, Jeffery Thomas can be contacted via phone (813) 821-8038.

Contact Information

Primary practice address
13330 Usf Laurel Dr Tampa FL 33612-6601
Phone: (813) 821-8038
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2005037433 Missouri
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY2571 Florida

Profile Details

NPI number 1336249754
LBN Legal business name Lichtenhan, Jeffery Thomas
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Feb 1st, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336249754 NPPES
Florida Other BLF5R BCBS
Florida MEDICAID 116525200 BCBS

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