Organization
LICKING MEMORIAL PROFESSIONAL CORPORATION
Active
Parent organization
LICKING MEMORIAL PROFESSIONAL CORPORATION
Other names
Licking Memorial Orthopedic DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
LICKING MEMORIAL PROFESSIONAL CORPORATION
Authorized official
CYNTHIA L. WEBSTER (VP FINANCIAL SERVICES)
(220) 564-4000
Entity
Organization
Contact information
Practice address
1717 W MAIN ST, SUITE 201, NEWARK, OH 43055-1347
(220) 564-2900
(220) 564-2901
Mailing address
1717 W MAIN ST, SUITE 201, NEWARK, OH 43055-1347
(220) 564-2900
(220) 564-2901
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
09/12/2016
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