Jacob J Lichman JR. CSAC IDP/AT

  • NPI 1306140967
According to our database, the NPI number for Jacob J Lichman JR. CSAC IDP/AT is 1306140967 and activated since 13 years ago. Jacob J Lichman JR. CSAC IDP/AT is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is N3829 State Road 22, Montello, WI 53949. You can also contact Jacob J Lichman JR. CSAC IDP/AT via telephone number is (608) 297-2085. Provider NPI information was last updated on 12/22/2010.

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Overview of Jacob J Lichman JR. CSAC IDP/AT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/22/2010
  • Last updated: 12/22/2010

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 1853-132
  • License State: WI

Provider Mailing Address

  • Address: Po Box 57
    Montello, WI 53949
  • Phone: 608-297-2085
  • Fax: 608-297-2426

Provider Practice Location

  • Address: N3829 State Road 22
    Montello, WI 53949
  • Phone: 608-297-2085
  • Fax: 608-297-2426

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 1853-132
  • License State: WI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jacob J Lichman JR. CSAC IDP/AT?
  • A: The npi number for Jacob J Lichman JR. CSAC IDP/AT is 1306140967.
  • Q: What are Jacob J Lichman JR. CSAC IDP/AT's specialties?
  • A: Jacob J Lichman JR. CSAC IDP/AT's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Jacob J Lichman JR. CSAC IDP/AT?
  • A: The medical license number for Jacob J Lichman JR. CSAC IDP/AT is 1853-132 and issued in WI in USA.
  • Q: Where is Jacob J Lichman JR. CSAC IDP/AT practice location?
  • A: Jacob J Lichman JR. CSAC IDP/AT is practicing at N3829 State Road 22, Montello, WI 53949.
  • Q: How to contact Jacob J Lichman JR. CSAC IDP/AT?
  • A: You can contact Jacob J Lichman JR. CSAC IDP/AT via 608-297-2085.