Licht, Myron B

Licht, Myron B is an individual health care provider with primary practice located at 1750 Thompson Rd , Coos Bay OR 97420-2100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Licht, Myron B can be contacted via phone (541) 269-0333.

Contact Information

Primary practice address
1750 Thompson Rd Coos Bay OR 97420-2100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X DO158099 Oregon

Profile Details

NPI number 1427131226
LBN Legal business name Licht, Myron B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Feb 27th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427131226 NPPES
Oregon MEDICAID 151994

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