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Contact Information

LICKING MEMORIAL PROFESSIONAL CORPORATION
1272 WEST MAIN STREET BLDG 2 STE. 2
NEWARK, OH43055
 Phone: 740-348-1760
 Fax: 740-348-1761
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for LICKING MEMORIAL PROFESSIONAL CORPORATION · (Female)

NPI Number 1457625758
Status Active
Credentials
Entity Individual
Enumeration date 03/05/2012
Last updated 03/05/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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