| Licking Memorial Professional Corp | |
|
1272 W Main St Bldg 2 Ste 3 Newark OH 43055-2004 | |
| (740) 348-7950 | |
| (740) 348-7951 |
| Full Name | Licking Memorial Professional Corp |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1272 W Main St, Newark, Ohio |
| Authorized Official Name and Position | Cynthia L Webster (VP OF FINANCIAL SERVICES) |
| Authorized Official Contact | 7403484518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Licking Memorial Professional Corp 1272 W Main St Bldg 2 Ste 3 Newark OH 43055-2004 Ph: (740) 348-7950 | Licking Memorial Professional Corp 1272 W Main St Bldg 2 Ste 3 Newark OH 43055-2004 Ph: (740) 348-7950 |
| NPI Number | 1073822938 |
|---|---|
| Provider Enumeration Date | 09/27/2010 |
| Last Update Date | 07/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073822938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Licking Memorial Professional Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2181 W High St, Newark, OH 43055 Phone: 740-348-1720 Fax: 740-348-1726 | |
Licking Memorial Professional Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Main St, Newark, OH 43055 Phone: 740-348-1849 Fax: 740-348-1847 | |
Licking Memorial Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Mcmillen Dr, Newark, OH 43055 Phone: 740-348-4827 Fax: 740-348-1894 | |
Primetown Ohio Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 N 21st St Ste A, Newark, OH 43055 Phone: 740-281-3663 Fax: 740-281-3818 | |
Lower Lights Christian Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 69 S Terrace Ave, Newark, OH 43055 Phone: 614-274-1455 Fax: 614-274-1433 | |
Licking Memorial Professional Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Tamarack Rd, Newark, OH 43055 Phone: 740-348-1993 Fax: 740-348-1994 |