Liebherr, Susan M.
Liebherr, Susan M. is an individual health care provider with primary practice located at 2601 E Roosevelt St , Phoenix AZ 85008-4973. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Liebherr, Susan M. can be contacted via phone (602) 344-5407.Contact Information
Primary practice address
2601 E Roosevelt St
Phoenix AZ 85008-4973
Phone: (602) 344-5407
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN036063 | Arizona |
Profile Details
| NPI number | 1093774945 |
|---|---|
| LBN Legal business name | Liebherr, Susan M. |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Sep 15th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093774945 | NPPES |
| Arizona | MEDICAID | 637655 |
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