Libenson, Bradley Neal

Libenson, Bradley Neal is an sole proprietor health care provider with primary practice located at 6C School St , Berwick ME 03901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Libenson, Bradley Neal can be contacted via phone (207) 698-7900.

Contact Information

Primary practice address
6C School St Berwick ME 03901
Phone: (207) 698-7900
Fax: (207) 698-7977
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1276 Maine

Profile Details

NPI number 1548339849
LBN Legal business name Libenson, Bradley Neal
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Apr 18th, 2014 - 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 1548339849 NPPES
Maine Other 1078882 CIGNA
Maine Other 043568 CIGNA
Maine MEDICAID 174580000 CIGNA
Maine Other 04YP12588NH01 CIGNA
Maine MEDICAID 30202194 CIGNA

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