Lieberman, Allen Keith

Lieberman, Allen Keith is an individual health care provider with primary practice located at 10801 North Md Pac Expressway Building Ii Suite 150, Austin TX 78759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Lieberman, Allen Keith can be contacted via phone (512) 345-7635.

Contact Information

Primary practice address
10801 North Md Pac Expressway Building Ii Suite 150 Austin TX 78759
Phone: (512) 345-7635
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X J6157 Texas

Profile Details

NPI number 1922075787
LBN Legal business name Lieberman, Allen Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jan 6th, 2009 - about 17 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 1922075787 NPPES
Texas MEDICAID 104397801

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