Lieb, Michael D

Lieb, Michael D is an individual health care provider with primary practice located at 212 Creek Crossing Blvd , Hainesport NJ 08036-2766. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Lieb, Michael D can be contacted via phone (609) 267-1004.

Contact Information

Primary practice address
212 Creek Crossing Blvd Hainesport NJ 08036-2766
Phone: (609) 267-1004
Fax: (609) 267-1044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 25MB09114300 New Jersey

Profile Details

NPI number 1609024447
LBN Legal business name Lieb, Michael D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2008
Last updated Oct 17th, 2024 - about 2 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 1609024447 NPPES
New Jersey MEDICAID 0422185

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