Libertin, Andrew G

Libertin, Andrew G is an individual health care provider with primary practice located at 832 S Main St , Orrville OH 44667-2208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Libertin, Andrew G can be contacted via phone (330) 684-4771.

Contact Information

Primary practice address
832 S Main St Orrville OH 44667-2208
Phone: (330) 684-4771
Fax: (330) 684-2075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35.055141 Ohio

Profile Details

NPI number 1568467561
LBN Legal business name Libertin, Andrew G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Mar 18th, 2024 - about 9 months 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 1568467561 NPPES
Ohio Other 4307999 AETNA #
Ohio Other 100013700 AETNA #
Ohio Other CC9333 AETNA #
Ohio MEDICAID 0975888 AETNA #
Ohio Other 341773267D AETNA #
Ohio Other 91656 AETNA #
Ohio Other 2900613 AETNA #
Ohio Other 341773267 AETNA #
Ohio MEDICAID 0696064 AETNA #
Ohio Other 000000138316 AETNA #
Ohio Other 2735441001 AETNA #
Ohio Other 34177326700 AETNA #

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