Liebenstein, Nathan

Liebenstein, Nathan is an individual health care provider with primary practice located at 3120 Clearwater Dr , Prescott AZ 86305-7131. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Liebenstein, Nathan can be contacted via phone (928) 771-3704.

Contact Information

Primary practice address
3120 Clearwater Dr Prescott AZ 86305-7131
Phone: (928) 771-3704
Fax: (928) 771-0434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 256160 Arizona

Profile Details

NPI number 1235657586
LBN Legal business name Liebenstein, Nathan
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2017
Last updated Feb 17th, 2025 - about last year

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 1235657586 NPPES
Arizona MEDICAID 093322

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