Liebaert, Megan E.

Liebaert, Megan E. is an individual health care provider with primary practice located at 3500 Tower Ave , Superior WI 54880-5335. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Liebaert, Megan E. can be contacted via phone (715) 395-5400.

Contact Information

Primary practice address
3500 Tower Ave Superior WI 54880-5335
Phone: (715) 395-5400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9043 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12231-24 Wisconsin

Profile Details

NPI number 1063768240
LBN Legal business name Liebaert, Megan E.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2012
Last updated Oct 17th, 2013 - about 13 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 1063768240 NPPES
Wisconsin MEDICAID 1063768240

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