Leibovich, Lewis
Leibovich, Lewis is an individual health care provider with primary practice located at 901 W Ben White Blvd , Austin TX 78704-6903. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Leibovich, Lewis can be contacted via phone (512) 447-2211.Contact Information
Primary practice address
901 W Ben White Blvd
Austin TX 78704-6903
Phone: (512) 447-2211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | J3837 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | J3837 | Texas |
Profile Details
| NPI number | 1245287366 |
|---|---|
| LBN Legal business name | Leibovich, Lewis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 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 | 1245287366 | NPPES |
| Texas | MEDICAID | 125464103 | |
| Texas | MEDICAID | 125464105 |
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