Individual
DR. JAY CHARLES LICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2402 WINNEBAGO ST, MADISON, WI 53704-5341
(608) 242-6840
(608) 245-6117
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
53723
WI
207V00000X
Obstetrics & Gynecology Physician
005103
AZ
207V00000X
Obstetrics & Gynecology Physician
2005041214
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
53723
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200987303
—
MO
05
—
377023
—
AZ
Enumeration date
09/01/2006
Last updated
02/04/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us