Liebelt, David Albert

Liebelt, David Albert is an individual health care provider with primary practice located at 820 E Grant St , Appleton WI 54911-3483. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Liebelt, David Albert can be contacted via phone (920) 831-5050.

Contact Information

Primary practice address
820 E Grant St Appleton WI 54911-3483
Phone: (920) 831-5050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 66283 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 66283 Wisconsin

Profile Details

NPI number 1205132321
LBN Legal business name Liebelt, David Albert
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2011
Last updated Aug 26th, 2021 - about 4 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 1205132321 NPPES
Indiana MEDICAID 201236820

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