JACK R LICHTENSTEIN, MD LLC – NPI #1043288087
Internal Medicine

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

JACK R LICHTENSTEIN, MD LLC is a provider located in ANNAPOLIS, MD. NPPES has assigned the NPI number 1043288087 to JACK R LICHTENSTEIN, MD LLC on March 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

The NPI profile was previously updated about 18 years ago on Aug 01, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK R LICHTENSTEIN, MD LLC below.

NPI Profile for
JACK R LICHTENSTEIN, MD LLC

NPI Number
1043288087
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACK R LICHTENSTEIN, MD LLC
Primary location
205 RIDGELY AVE
ANNAPOLIS, MD 21401
Phone: (410) 263-6910 Fax: (443) 433-0456
Mailing address
Same as primary location
Organization Subpart
Yes - JACK R LICHTENSTEIN, MD LLC is subpart of another organization.
Authorized Official
JACK LICHTENSTEIN
OWNER
Phone: (410) 268-6910
Updated
Identifiers

Identifiers for JACK R LICHTENSTEIN, MD LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCAREFIRSTDCJ1740003
OTHERCAREFIRSTMD3304001
MEDICAIDMD785361100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RR0500X
- Internal Medicine / Rheumatology (Primary)
MD D0065841
207R00000X
- Internal Medicine
MD D08194

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.