Lichtenfeld, William Jay

Lichtenfeld, William Jay is an individual health care provider with primary practice located at 6300 Hospital Pkwy Suite 400, Johns Creek GA 30097-1828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Lichtenfeld, William Jay can be contacted via phone (678) 205-4261.

Contact Information

Primary practice address
6300 Hospital Pkwy Suite 400 Johns Creek GA 30097-1828
Fax: (678) 417-7187
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 051503 Georgia

Profile Details

NPI number 1164422572
LBN Legal business name Lichtenfeld, William Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jun 3rd, 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 1164422572 NPPES
Georgia MEDICAID 000949583C
Georgia Other P00201018

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