Leib, Joel K
Leib, Joel K is an individual health care provider with primary practice located at 3560 Pontiac Lake Rd , Waterford MI 48328-2337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Leib, Joel K can be contacted via phone (248) 674-2259.Contact Information
Primary practice address
3560 Pontiac Lake Rd
Waterford MI 48328-2337
Phone: (248) 674-2259
Fax: (248) 674-3356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | JL005644 | Michigan |
Profile Details
| NPI number | 1396708681 |
|---|---|
| LBN Legal business name | Leib, Joel K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2006 |
| Last updated | May 14th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396708681 | NPPES |
| Michigan | MEDICAID | 1121181 |
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