Lieberg, Gerald

Lieberg, Gerald is an individual health care provider with primary practice located at 114 S 20Th Ave W Suite A, Duluth MN 55806-3526. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Lieberg, Gerald can be contacted via phone (218) 721-4732.

Contact Information

Primary practice address
114 S 20Th Ave W Suite A Duluth MN 55806-3526
Phone: (218) 721-4732
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5157 Minnesota

Profile Details

NPI number 1043301369
LBN Legal business name Lieberg, Gerald
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Mar 28th, 2017 - about 9 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 1043301369 NPPES
Minnesota MEDICAID 616055700
Minnesota Other HP45807
Minnesota Other 41D93LI

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