Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Licking Memorial Professional Corporation

Organization Neurology Physician · NPI 1578755435

Licking Memorial Professional Corporation is a Neurology Physician in Newark, Ohio. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1272 W Main St Bldg 2
Newark, OH 43055-2004
Phone: (740) 348-7985
Fax: (740) 348-7986
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1578755435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Webster — Vp Of Financial Services · (740) 348-4518
Other names Licking Memorial Neurology
NPI enumeratedAugust 15, 2007
Last updated in NPPESMay 12, 2011
Mailing address1272 West Main Street, Bldg 2, Newark, OH 43055-2004

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