Liebelt, Greta Jones

Liebelt, Greta Jones is an individual health care provider with primary practice located at 2105 Forest Ave , San Jose CA 95128-1425. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Liebelt, Greta Jones can be contacted via phone (408) 947-2500.

Contact Information

Primary practice address
2105 Forest Ave San Jose CA 95128-1425
Phone: (408) 947-2500
Fax: (818) 587-2493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP13218 California

Profile Details

NPI number 1316989494
LBN Legal business name Liebelt, Greta Jones
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 27th, 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 1316989494 NPPES
California MEDICAID RN594412

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