Organization Name: | LICKING MEMORIAL PROFESSIONAL CORP. |
NPI Number: | 1235159674 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT A. MONTAGENSE (EXECUTIVE V.P.) |
Mailing Address: | 1 Healthy Pl Suite 103 Pataskala |
State: | OH US |
Postal Code: | 430627067 |
Phone Number: | 7403481920 |
Fax Number: | 7403481921 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |