Bleiberg, Marvin N
Bleiberg, Marvin N is an sole proprietor health care provider with primary practice located at 2480 W Campus Dr Ste 500, Mt Pleasant MI 48858. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Bleiberg, Marvin N can be contacted via phone (989) 772-1609.Contact Information
Primary practice address
2480 W Campus Dr Ste 500
Mt Pleasant MI 48858
Phone: (989) 772-1609
Fax: (989) 773-6279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 4301064477 | Michigan |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 4301064477 | Michigan |
Profile Details
| NPI number | 1356307052 |
|---|---|
| LBN Legal business name | Bleiberg, Marvin N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2006 |
| Last updated | Jan 4th, 2024 - about last year |
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 | 1356307052 | NPPES |
| Michigan | MEDICAID | 1174698336 | |
| Michigan | Other | DD1273 | |
| Michigan | MEDICAID | 1487796504 |
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