Lichauco, Macario F.

Lichauco, Macario F. is an individual health care provider with primary practice located at 489 State St Kelly 6 Eastern Maine Medical Center, Bangor ME 04401-6616. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Lichauco, Macario F. can be contacted via phone (207) 973-8670.

Contact Information

Primary practice address
489 State St Kelly 6 Eastern Maine Medical Center Bangor ME 04401-6616
Phone: (207) 973-8670
Fax: (207) 973-5163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35149711 Ohio
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 015508 Maine
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35149711 Ohio

Profile Details

NPI number 1821026055
LBN Legal business name Lichauco, Macario F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Dec 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821026055 NPPES
Ohio MEDICAID 0033779

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