Licht, Nurit

Licht, Nurit is an individual health care provider with primary practice located at 1179 N Mcdowell Blvd , Petaluma CA 94954-6559. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Licht, Nurit can be contacted via phone (707) 559-7500.

Contact Information

Primary practice address
1179 N Mcdowell Blvd Petaluma CA 94954-6559
Phone: (707) 559-7500
Fax: (707) 559-7620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A90977 California

Profile Details

NPI number 1477545176
LBN Legal business name Licht, Nurit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Sep 20th, 2019 - about 5 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 1477545176 NPPES
California Other ZZZ18742Z ISSUER MEDICARE
California Other A90977 ISSUER MEDICARE
California MEDICAID FHC70696F ISSUER MEDICARE
California MEDICAID 1477545176 ISSUER MEDICARE
California MEDICAID HAP70696F ISSUER MEDICARE
California MEDICAID BCP70696F ISSUER MEDICARE

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