Hoberman, Liberty Belle Shelton

Hoberman, Liberty Belle Shelton is an sole proprietor health care provider with primary practice located at 400 136Th Ave Suite 416, Holland MI 49424-2923. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Hoberman, Liberty Belle Shelton can be contacted via phone (616) 738-0470.

Contact Information

Primary practice address
400 136Th Ave Suite 416 Holland MI 49424-2923
Phone: (616) 738-0470
Fax: (616) 738-0498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301068128 Michigan

Profile Details

NPI number 1538123724
LBN Legal business name Hoberman, Liberty Belle Shelton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Jan 6th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538123724 NPPES
Michigan Other 020G010060 BLUE CROSS BLUE SHIELD MI
Michigan MEDICAID 4783476 BLUE CROSS BLUE SHIELD MI
Michigan Other 382809956 BLUE CROSS BLUE SHIELD MI

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