Licking Memorial Geriatric Medicine

LBN: Licking Memorial Professional Corp.
Licking Memorial Geriatric Medicine is an health care organization with primary practice located at 120 Mcmillen Dr , Newark OH 43055-1809. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Licking Memorial Professional Corp. can be contacted via phone (740) 348-7935, or through Montagnese, Robert A via phone (740) 348-4000.

Contact Information

Primary practice address
120 Mcmillen Dr Newark OH 43055-1809
Phone: (740) 348-7935
Fax: (740) 348-7936
Website:
Map and Directions
Authorized official contact:
Name: Montagnese, Robert A
Phone: (740) 348-4000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X

Profile Details

NPI number 1649290073
LBN Legal business name Licking Memorial Professional Corp.
DBA Doing business as Licking Memorial Geriatric Medicine
Authorized official Montagnese, Robert A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2006
Last updated Aug 22nd, 2020 - about 5 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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