Leib, Edward Samuel

Leib, Edward Samuel is an individual health care provider with primary practice located at 111 Colchester Ave East Pavilion Level 5, Rheumatology, Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Leib, Edward Samuel can be contacted via phone (802) 847-4574.

Contact Information

Primary practice address
111 Colchester Ave East Pavilion Level 5, Rheumatology Burlington VT 05401-1473
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 042-0006150 Vermont

Profile Details

NPI number 1588778369
LBN Legal business name Leib, Edward Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 19 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 1588778369 NPPES
Vermont MEDICAID 0007995

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