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IndividualActivePrescriber

Jacqueline Lee Lickliter

D.O.

Pediatrics

NPI: 1053671669Boardman, Ohio, 44512(330) 746-8040Female

About Jacqueline Lee Lickliter

Jacqueline Lee Lickliter, D.O., is a female healthcare professional specializing in Pediatrics, registered under National Provider Identifier (NPI) number 1053671669. Their primary practice is located at 6505 MARKET ST STE 2100, Boardman, Ohio 44512.

Patients can reach the office at (330) 746-8040. Jacqueline Lee Lickliter is authorized to prescribe medications. Jacqueline Lee Lickliter received $568 in Medicare payments in 2018 across 9 claims. Jacqueline Lee Lickliter has been NPI-registered since 2012.

Key Metrics

Medicare Payments

$568.40

Year 2018

Payment Count

9

Year 2018

Doctor Details

Identity & Credentials

NPI Number
1053671669
Entity Type
Individual
First Name
Jacqueline
Last Name
Lickliter
Credential
D.O.
Gender
Female
Sole Proprietor
No
Status
active

Primary Practice Location

Address
6505 MARKET ST STE 2100
City
Boardman
State
Ohio
ZIP
44512-3457
Country
United States
Phone
(330) 746-8040
Fax
(330) 746-8025

Specialty & Taxonomy

Primary Specialty
Pediatrics
Classification
Pediatrics
Taxonomy Code
208000000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
1 PERKINS SQ
City
AKRON
State
OH
ZIP
443081063

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Jacqueline Lee Lickliter's NPI number?
Jacqueline Lee Lickliter's National Provider Identifier (NPI) is 1053671669. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jacqueline Lee Lickliter specialize in?
Jacqueline Lee Lickliter specializes in Pediatrics.
Where is Jacqueline Lee Lickliter located?
Jacqueline Lee Lickliter practices at 6505 MARKET ST STE 2100, Boardman, Ohio 44512. You can reach them by phone at (330) 746-8040.
Does Jacqueline Lee Lickliter accept Medicare?
Based on available data, Jacqueline Lee Lickliter is not currently enrolled in the Medicare program.
Does Jacqueline Lee Lickliter offer telehealth or virtual visits?
Jacqueline Lee Lickliter does not currently offer telehealth services. In-person visits are required at their practice location.
Can Jacqueline Lee Lickliter prescribe medications?
Yes, Jacqueline Lee Lickliter is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jacqueline Lee Lickliter is 1053671669.