Lieberman, John A

Lieberman, John A is an individual health care provider with primary practice located at 4401 N Campus Ridge Dr Suite B2200, Midland MI 48640-6112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lieberman, John A can be contacted via phone (989) 837-9400.

Contact Information

Primary practice address
4401 N Campus Ridge Dr Suite B2200 Midland MI 48640-6112
Phone: (989) 837-9400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5315016828 Michigan

Profile Details

NPI number 1912995762
LBN Legal business name Lieberman, John A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Sep 7th, 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 1912995762 NPPES
Michigan MEDICAID 1912995762
Michigan MEDICAID 4615318

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