JOSEPH R LICKTEIG


Address: 758 S Hillside St, Wichita, KS 67211-3020
Phone: 3166862106

JOSEPH R LICKTEIG (NPI# 1982630422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982630422
Entity Type Individual
Full Name JOSEPH R LICKTEIG
Credential DPM
Practice Address 758 S Hillside St
Wichita
KS 67211-3020
Practice Telephone 3166862106
Practice Fax Number 3166865974
Mailing Telephone 3166862106
Mailing Fax Number 3166865974
Enumeration Date 2006-06-25
Last Update Date 2016-02-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 12-00126 KS Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 758 S HILLSIDE ST
City WICHITA
State KS
Zip Code 67211-3020

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922001551 Frank K Galbraith Podiatrist 758 S Hillside St, Ste 2, Wichita, KS 67211-3020 2005-05-27
1073972170 Leila Galbraith Mckenzie Dpm LLC Podiatrist 758 S Hillside St, Wichita, KS 67211-3020 2016-02-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386162683 Karlee Dawn Gluszek Specialist/Technologist 1947 S Lulu St, Wichita, KS 67211 2017-09-07
1780139659 Jaclyn Blyholder Dentist 639 S. Hillside, Wichita, KS 67211 2016-08-22
1356715379 Revitalize Physical Therapy LLC Physical Therapist 227 S Ida St, Wichita, KS 67211 2015-11-16
1750753232 Accurate Sleep Lab Clinical Medical Laboratory 411 S Pattie St Suite 2, Wichita, KS 67211 2015-10-23
1841628013 Joseph Michael Stech Family Medicine 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 2013-10-24
1902166648 Debby Elwood Counselor 830 S. Hillside, Wichita, KS 67211 2012-05-28
1205038726 Patricia (pat) J. Eagleman Social Worker 333 S. Greenwood, Wichita, KS 67211 2007-06-05
1114147717 Rodolfo A Argosino Md Pa Family Medicine 1148 S Hillside, 106, Wichita, KS 67211 2007-04-26
1801911086 Susan Wright Rockley Physical Therapist 2535 East Lincoln, Wichita, KS 67211 2007-03-20
1578618021 Dependable Assisted Living Home Health 401 S Greenwood St, Wichita, KS 67211 2007-01-24
Find all providers in zip 67211

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003354424 Midwestern Podiatry Services LLC Podiatrist 1740 N Fairview Ave, Suite 200, Wichita, KS 67203-2573 2017-02-06
1487847000 Ed R Elkouri Podiatrist 1515 S Clifton Ave Ste 440, Wichita, KS 67218-2954 2007-08-27
1043419625 Podiatry Clinic, P.a. Podiatrist 400 N Woodlawn St Ste 211, Wichita, KS 67208-4332 2007-07-13
1922114222 Leroy Stucky Podiatrist 5311 E Central, Wichita, KS 67208-4131 2006-08-21
1306815709 Donald D Yoder Podiatrist 3010 W Central Ave, Wichita, KS 67203-4910 2006-03-16
1083601009 Benjamin Watson Weaver Podiatrist 2081 N Webb Rd, Wichita, KS 67206-3411 2005-10-04
1649267683 Thomas Daniel Truong Podiatrist 3460 N Ridge Rd Ste 140, Wichita, KS 67205-1223 2005-10-04
1467453779 Larry K. Mcneil Podiatrist 400 N Woodlawn St, Suite 211, Wichita, KS 67208-4338 2005-08-09
1922001551 Frank K Galbraith Podiatrist 758 S Hillside St, Ste 2, Wichita, KS 67211-3020 2005-05-27
1720241821 Miki Matsuda Podiatrist 1947 N Founders Cir, Wichita, KS 67206-3548 2008-07-08
Find all providers in WICHITA

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City WICHITA
Zip Code 67211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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