Lieb, Thomas F

Lieb, Thomas F is an sole proprietor health care provider with primary practice located at 2020 Ne 61St Ave , Portland OR 97213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Lieb, Thomas F can be contacted via phone (314) 402-6504.

Contact Information

Primary practice address
2020 Ne 61St Ave Portland OR 97213
Phone: (314) 402-6504
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X R4N13 Missouri
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD00021605 Washington

Profile Details

NPI number 1871537563
LBN Legal business name Lieb, Thomas F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Aug 27th, 2019 - about 7 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 1871537563 NPPES
Missouri Other 4668145 AETNA
Missouri Other 2300462 AETNA
Missouri Other 188614 AETNA
Missouri Other 21373V3223 AETNA
Missouri Other 6741899001 AETNA
Missouri Other P00146328 AETNA
Missouri Other 136709 AETNA
Missouri MEDICAID 202879714 AETNA

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