Lichti, Douglas J
Lichti, Douglas J is an individual health care provider with primary practice located at 380 E 1500 S Suite 202, Heber City UT 84032-3940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lichti, Douglas J can be contacted via phone (435) 657-2711.Contact Information
Primary practice address
380 E 1500 S Suite 202
Heber City UT 84032-3940
Phone: (435) 657-2711
Fax: (435) 657-2716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 1835651205 | Utah |
Profile Details
| NPI number | 1417995325 |
|---|---|
| LBN Legal business name | Lichti, Douglas J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Sep 16th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417995325 | NPPES |
| Utah | MEDICAID | 870516264009 |
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