JACK R LICHTENSTEIN, MD LLC
NPI 1043288087
Internal Medicine - Rheumatology in Annapolis, MD

Q: What is Jack R Lichtenstein, MD LLC's NPI number?

The NPI number for Jack R Lichtenstein, MD LLC is 1043288087. It was assigned to this organization in the NPPES registry on March 8, 2006.

Q: What is Jack R Lichtenstein, MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Active since March 08, 2006

205 RIDGELY AVE, ANNAPOLIS, MD 21401(410) 263-6910(443) 433-0456 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jack R Lichtenstein, Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK R LICHTENSTEIN, MD LLC (NPI 1043288087) is a healthcare organization registered as a rheumatology in Annapolis, Maryland and active in the NPI registry since March 2006. The organization lists Jack R. Lichtenstein, Owner, as its authorized official.

NPPES Registry Identity

NPI1043288087

Entity TypeOrganization

Primary Taxonomy207RR0500X

Legal Business NameJACK R LICHTENSTEIN, MD LLC

Location Address205 RIDGELY AVEAnnapolis, MD 21401

Mailing Address205 Ridgely AveAnnapolis, MD 21401 · (410) 263-6910 · Fax (443) 433-0456

Phone(410) 263-6910

Fax(443) 433-0456

Organization SubpartYes

Authorized OfficialJack R. LichtensteinOwner · (410) 268-6910

Enumeration DateMarch 8, 2006

Last NPPES UpdateAugust 1, 2008

✔ NPI 1043288087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Licenses✔ Licensed in MD · D0008194✔ Licensed in MD · D08194✔ Licensed in MD · D0065841

Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License D08194 (MD)

205 RIDGELY AVE, Annapolis, MD 21401

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Other Identifiers 5

Other3304001MD · Carefirst

OtherJ1740003DC · Carefirst

Medicare PIN796MMD

Medicare UPIND76263

Medicaid785361100MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HSU HUEI THIGPEN DPT

Physical Therapist