Leibowitz, Keith A.

Leibowitz, Keith A. is an individual health care provider with primary practice located at 700 17Th St Ste 102 , Modesto CA 95354-1248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Leibowitz, Keith A. can be contacted via phone (209) 522-6100.

Contact Information

Primary practice address
700 17Th St Ste 102 Modesto CA 95354-1248
Phone: (209) 522-6100
Fax: (209) 522-6110
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101239026 Virginia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G129017 California

Profile Details

NPI number 1083689335
LBN Legal business name Leibowitz, Keith A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated May 31st, 2022 - about 4 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 1083689335 NPPES
Virginia Other 192063 ANTHEM
Virginia Other P00313962 ANTHEM
Virginia MEDICAID 010251338 ANTHEM

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