Liebenrood, Joseph

Liebenrood, Joseph is an individual health care provider with primary practice located at 35 Albany Rd Ste C , Carbondale IL 62903-7647. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Liebenrood, Joseph can be contacted via phone (618) 457-5111.

Contact Information

Primary practice address
35 Albany Rd Ste C Carbondale IL 62903-7647
Phone: (618) 457-5111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209007056 Illinois

Profile Details

NPI number 1356525588
LBN Legal business name Liebenrood, Joseph
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2007
Last updated Jul 29th, 2010 - about 16 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 1356525588 NPPES
Missouri Other 2006023280 RN LICENSE

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