Libsack, Michael Tanner
Libsack, Michael Tanner is an sole proprietor health care provider with primary practice located at 1200 N Beaver St , Flagstaff AZ 86001-3118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Libsack, Michael Tanner can be contacted via phone (928) 779-3366.Contact Information
Primary practice address
1200 N Beaver St
Flagstaff AZ 86001-3118
Phone: (928) 779-3366
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 011715 | Arizona |
Profile Details
| NPI number | 1659830974 |
|---|---|
| LBN Legal business name | Libsack, Michael Tanner |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2019 |
| Last updated | Jun 24th, 2025 - about last year |
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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