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

Licking Memorial Professional Corporation

Organization Rheumatology Physician · NPI 1740623628

Licking Memorial Professional Corporation is a Rheumatology Physician in Newark, Ohio. Registered with an NPI since 2013.

In the registry since
2013
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Practice location Address checks out

1272 W Main St Bldg 2 Ste 4
Newark, OH 43055
Phone: (740) 348-7975
Fax: (740) 348-7976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X

Record details

NPI number1740623628
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLicking Memorial Professional Corporation
Authorized official Cynthia Webster — Vp Financial Service · (740) 348-4518
Other names Licking Memorial Rheumatology
NPI enumeratedApril 10, 2013
Last updated in NPPESApril 10, 2013
Mailing address1272 West Main Street Bldg 2, Ste 4, Newark, OH 43055

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