Licht, Norman J

Licht, Norman J is an individual health care provider with primary practice located at 4045 W Royal Dr , Traverse City MI 49684-8965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Licht, Norman J can be contacted via phone (231) 935-0900.

Contact Information

Primary practice address
4045 W Royal Dr Traverse City MI 49684-8965
Phone: (231) 935-0900
Fax: (231) 935-0308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 4301047445 Michigan

Profile Details

NPI number 1942224894
LBN Legal business name Licht, Norman J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1942224894 NPPES
Michigan MEDICAID 103105006

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