Lighthouse Medical Llc
LBN: Lighthouse Medical Llc
Lighthouse Medical Llc is an health care organization with primary practice located at 253 Easterly Pkwy Suite 1, State College PA 16801-6301. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Lighthouse Medical Llc can be contacted via phone (814) 308-8456, or through Johnson, John H. via phone (814) 943-1271.
Contact Information
Primary practice address
253 Easterly Pkwy Suite 1
State College PA 16801-6301
Phone: (814) 308-8456
Fax: (814) 308-8728
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD044867E | Pennsylvania |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD438515 | Pennsylvania |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | OS015480 | Pennsylvania |
Profile Details
NPI number | 1831478049 |
---|---|
LBN Legal business name | Lighthouse Medical Llc |
DBA Doing business as | |
Authorized official | Johnson, John H. Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 5th, 2011 |
Last updated | Feb 28th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831478049 | NPPES |
Pennsylvania | MEDICAID | 1020712560001 |
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