Lickliter, Jacqueline Lee

Lickliter, Jacqueline Lee is an individual health care provider with primary practice located at 6505 Market St Ste 2100 , Boardman OH 44512-3457. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lickliter, Jacqueline Lee can be contacted via phone (330) 746-8040.

Contact Information

Primary practice address
6505 Market St Ste 2100 Boardman OH 44512-3457
Phone: (330) 746-8040
Fax: (330) 746-8025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34.012256 Ohio

Profile Details

NPI number 1053671669
LBN Legal business name Lickliter, Jacqueline Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2012
Last updated Mar 17th, 2021 - about 5 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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