Lickstein, David Alan
Lickstein, David Alan is an sole proprietor health care provider with primary practice located at 5540 Pga Blvd Suite 200, Palm Beach Gardens FL 33418-3987. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Lickstein, David Alan can be contacted via phone (561) 571-4000.Contact Information
Primary practice address
5540 Pga Blvd Suite 200
Palm Beach Gardens FL 33418-3987
Phone: (561) 571-4000
Fax: (561) 508-8890
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ME84765 | Florida |
Profile Details
NPI number | 1275642183 |
---|---|
LBN Legal business name | Lickstein, David Alan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 30th, 2006 |
Last updated | May 4th, 2017 - about 7 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 | 1275642183 | NPPES |
Florida | Other | 17239 | BLUECROSS BLUESHIELD |
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