Lichty, Jordan Joseph

Lichty, Jordan Joseph is an individual health care provider with primary practice located at 1800 E Park Ave , State College PA 16803-6709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Lichty, Jordan Joseph can be contacted via phone (814) 231-7000.

Contact Information

Primary practice address
1800 E Park Ave State College PA 16803-6709
Phone: (814) 231-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT197760 Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD452089 Pennsylvania

Profile Details

NPI number 1619286473
LBN Legal business name Lichty, Jordan Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2010
Last updated Mar 8th, 2015 - about 11 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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