Leibel, Mark A

Leibel, Mark A is an individual health care provider with primary practice located at 600 Highland Ave B6/319 Csc, Madison WI 53792-3272. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Leibel, Mark A can be contacted via phone (608) 263-8100.

Contact Information

Primary practice address
600 Highland Ave B6/319 Csc Madison WI 53792-3272
Phone: (608) 263-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44836 Wisconsin
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 44836 Wisconsin

Profile Details

NPI number 1689655995
LBN Legal business name Leibel, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jul 16th, 2013 - 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 1689655995 NPPES
Wisconsin Other WI01N2 JOHN DEERE
Wisconsin Other 390807236A3 JOHN DEERE
Wisconsin Other 44836 JOHN DEERE
Wisconsin Other 080190901 JOHN DEERE
Wisconsin Other 13311 JOHN DEERE
Wisconsin MEDICAID 34251400 JOHN DEERE

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