Licking Memorial Professional Corporation
Licking Memorial Professional Corporation provides Plastic and Reconstructive Surgery Physician services in Newark, Ohio. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1272 W Main St Bldg 2Newark, OH 43055-2004 Not confirmed with CMS for 19 years — call before visiting
Phone: (740) 348-7955
Fax: (740) 348-7956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 2086S0122X |
|---|
Record details
| NPI number | 1831381706 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Renee Spring-Ives — Credentialing Coordinator · (740) 348-4027 |
| Other names | Licking Memorial Reconstructive & Cosmetic Services |
| NPI enumerated | August 15, 2007 |
| Last updated in NPPES | August 15, 2007 |
| Mailing address | 1272 W Main St, Bldg. 2, Newark, OH 43055-2004 |