| Licking Memorial Neurology | |
|
1272 West Main Street Bldg 2 Newark OH 43055-2004 | |
| (740) 348-7985 | |
| (740) 348-7986 |
| Full Name | Licking Memorial Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1272 West Main Street, Newark, Ohio |
| Authorized Official Name and Position | Cynthia L. Webster (VP OF FINANCIAL SERVICES) |
| Authorized Official Contact | 7403484518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Licking Memorial Neurology 1272 West Main Street Bldg 2 Newark OH 43055-2004 Ph: (740) 348-7985 | Licking Memorial Neurology 1272 West Main Street Bldg 2 Newark OH 43055-2004 Ph: (740) 348-7985 |
| NPI Number | 1578755435 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 05/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578755435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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