Lieb, Michael

Lieb, Michael is an sole proprietor health care provider with primary practice located at 2000 Grant Ave Suite 102, Phila PA 19115-4378. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lieb, Michael can be contacted via phone (215) 464-7222.

Contact Information

Primary practice address
2000 Grant Ave Suite 102 Phila PA 19115-4378
Fax: (215) 464-6025
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD040345L Pennsylvania

Profile Details

NPI number 1770641581
LBN Legal business name Lieb, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Nov 21st, 2012 - about 14 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 1770641581 NPPES
Pennsylvania MEDICAID 1071689

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