Lighthouse Medical Llc

LBN: Lighthouse Medical Llc
Lighthouse Medical Llc is an health care organization with primary practice located at 253 Easterly Pkwy Suite 1, State College PA 16801-6301. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Lighthouse Medical Llc can be contacted via phone (814) 308-8456, or through Johnson, John H. via phone (814) 943-1271.

Contact Information

Primary practice address
253 Easterly Pkwy Suite 1 State College PA 16801-6301
Phone: (814) 308-8456
Fax: (814) 308-8728
Website:
Map and Directions
Authorized official contact:
Name: Johnson, John H. Doctor of Medicine (MD)
Phone: (814) 943-1271

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD044867E Pennsylvania
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD438515 Pennsylvania
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X OS015480 Pennsylvania

Profile Details

NPI number 1831478049
LBN Legal business name Lighthouse Medical Llc
DBA Doing business as
Authorized official Johnson, John H. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2011
Last updated Feb 28th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831478049 NPPES
Pennsylvania MEDICAID 1020712560001

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