Licht, Jonah M

Licht, Jonah M is an individual health care provider with primary practice located at 100 Highland Ave , Providence RI 02906. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Licht, Jonah M can be contacted via phone (401) 277-9729.

Contact Information

Primary practice address
100 Highland Ave Providence RI 02906
Phone: (401) 277-9729
Fax: (401) 277-9730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD12125 Rhode Island
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD12125 Rhode Island

Profile Details

NPI number 1134192891
LBN Legal business name Licht, Jonah M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Aug 24th, 2018 - about 6 years ago

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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