Lichtenstein, Jack R

Lichtenstein, Jack R is an sole proprietor health care provider with primary practice located at 205 Ridgely Ave , Annapolis MD 21401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Lichtenstein, Jack R can be contacted via phone (410) 263-6910.

Contact Information

Primary practice address
205 Ridgely Ave Annapolis MD 21401
Phone: (410) 263-6910
Fax: (443) 443-0456
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D08194 Maryland
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X D08194 Maryland

Profile Details

NPI number 1609844224
LBN Legal business name Lichtenstein, Jack R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated Feb 21st, 2008 - 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 1609844224 NPPES
District of Columbia Other J1740003 CAREFIRST
District of Columbia Other 3304001 CAREFIRST

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