Organization · Type 2 NPI

Licking Memorial Professional Corporation

Rheumatology Physician · Newark, OH

NPI number 1740623628 Active

Practice location

1272 West Main Street Bldg 2, Ste 4
Newark, OH 43055

Fax (740) 348-7976

Specialties and licenses

Taxonomy	Code	License
Rheumatology Physician Primary	207RR0500X	None listed

Rheumatology Physician: An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

NPI record

NPI: 1740623628
Entity type: Organization (Type 2)
Issued: Apr 10, 2013
Last updated: Apr 10, 2013
Status: Active
Subpart: Yes of Licking Memorial Professional Corporation

Other names

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Licking Memorial Rheumatology · doing business as

Authorized official

Cynthia L. Webster
VP Financial Service
(740) 348-4518

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About NPI 1740623628

Licking Memorial Professional Corporation's National Provider Identifier is 1740623628, issued on Apr 10, 2013. The primary taxonomy on file is Rheumatology Physician (207RR0500X), and the practice location is in Newark, OH. The record was last updated on Apr 10, 2013.