Licking Memorial Professional Corporation
Licking Memorial Professional Corporation provides Surgery Physician services in Pataskala, Ohio. Licensed in Ohio. Registered with an NPI since 2009.
- Licensed in
- OH
- In the registry since
- 2009
Practice location Address checks out
1 Healthy Pl Ste 202Pataskala, OH 43062-7067 Not confirmed with CMS for 17 years — call before visiting
Phone: (740) 348-1935
Fax: (740) 348-1936
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 34008308 (OH) |
|---|
Record details
| NPI number | 1093955932 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Licking Memorial Professional Corporation |
| Authorized official | Cynthia Webster — Vp Revenue Cycle & Interim Vp Finan · (740) 348-4027 |
| Other names | Licking Memorial Pataskala Specialties |
| NPI enumerated | March 5, 2009 |
| Last updated in NPPES | March 6, 2009 |
| Mailing address | 1 Healthy Pl Ste 202, Pataskala, OH 43062-7067 |