Nathan Daniel Lickteig, DO is a
Student In An Organized Health Care Education/training Program physician based in Seattle, Washington. Nathan Daniel Lickteig is licensed to practice in New Mexico (license number ) and his current practice location is 1959 Ne Pacific St, Seattle, Washington. He can be reached at his office (for appointments etc.) via phone at
(206) 543-1140.
NPI number for Nathan Daniel Lickteig is 1649912452 and his current mailing address is Msc08 4640 1 University Of New Mexico, Albuquerque, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649912452.
Physician's Profile
| Full Name | Nathan Daniel Lickteig |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1959 Ne Pacific St, Seattle, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649912452
- Provider Enumeration Date: 04/12/2022
- Last Update Date: 06/18/2026
Medical Identifiers
Medical identifiers for Nathan Daniel Lickteig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649912452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZB0001X | Pathology - Blood Banking & Transfusion Medicine | DO.OP.70077130 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nathan Daniel Lickteig is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nathan Daniel Lickteig, DO
Msc08 4640 1 University Of New Mexico,
Albuquerque, NM 87131-0001
Ph: (505) 272-4814 | Nathan Daniel Lickteig, DO
1959 Ne Pacific St,
Seattle, WA 98195-0001
Ph: (206) 543-1140 |
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