Kenneth W. Lilik, M.D.
LBN: Neurologic Subspecialties Inc
Kenneth W. Lilik, M.D. is an health care organization with primary practice located at 311 Mulberry St , Scranton PA 18503-1230. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is the primary health care specialty.
Neurologic Subspecialties Inc can be contacted via phone (570) 961-3933, or through Lilik, Kenneth William via phone (570) 961-3933.
Contact Information
Primary practice address
311 Mulberry St
Scranton PA 18503-1230
Phone: (570) 961-3933
Fax:
Website:
Authorized official contact:
Name: Lilik, Kenneth William Doctor of Medicine (MD)
Phone: (570) 961-3933
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | PAMD026664E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | PAMD026664E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | PAMD026664E | Pennsylvania |
Profile Details
| NPI number | 1215924261 |
|---|---|
| LBN Legal business name | Neurologic Subspecialties Inc |
| DBA Doing business as | Kenneth W. Lilik, M.D. |
| Authorized official | Lilik, Kenneth William Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Mar 5th, 2008 - about 17 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 | 1215924261 | NPPES |
| Pennsylvania | MEDICAID | 0010340770001 | |
| Pennsylvania | MEDICAID | 0015722260001 |
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