Licking Memorial Family Practice Hebron | |
96 Integrity Drive H. Hebron OH 43025 | |
(740) 348-7930 | |
(740) 348-7931 |
Full Name | Licking Memorial Family Practice Hebron |
---|---|
Speciality | Family Medicine |
Location | 96 Integrity Drive, Hebron, Ohio |
Authorized Official Name and Position | Robert A. Montagnese (EXECUTIVE V.P.) |
Authorized Official Contact | 7403484000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Licking Memorial Family Practice Hebron 96 Integrity Drive Hebron OH 43025 Ph: (740) 348-7930 | Licking Memorial Family Practice Hebron 96 Integrity Drive H. Hebron OH 43025 Ph: (740) 348-7930 |
NPI Number | 1689690661 |
---|---|
Provider Enumeration Date | 07/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689690661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |