Luebbert, Phillip D

Luebbert, Phillip D is an individual health care provider with primary practice located at 5544 Greenwich Rd Ste 200 , Virginia Beach VA 23462-6563. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Luebbert, Phillip D can be contacted via phone (757) 466-0089.

Contact Information

Primary practice address
5544 Greenwich Rd Ste 200 Virginia Beach VA 23462-6563
Phone: (757) 466-0089
Fax: (757) 466-8017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 0101042958 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101042958 Virginia

Profile Details

NPI number 1972587152
LBN Legal business name Luebbert, Phillip D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Nov 21st, 2023 - about 2 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 1972587152 NPPES
Virginia Other 10002189 OPTIMA
Virginia Other 300035674 OPTIMA
Virginia MEDICAID 890559U OPTIMA
Virginia Other 10002189 OPTIMA
Virginia Other 139178 OPTIMA
Virginia MEDICAID 1972587152 OPTIMA

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