Liebelt, David Albert
Liebelt, David Albert is an individual health care provider with primary practice located at 820 E Grant St , Appleton WI 54911-3483. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Liebelt, David Albert can be contacted via phone (920) 831-5050.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 66283 | Wisconsin |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 66283 | Wisconsin |
Profile Details
NPI number | 1205132321 |
---|---|
LBN Legal business name | Liebelt, David Albert |
Credentials | M.D., PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 7th, 2011 |
Last updated | Aug 26th, 2021 - about 3 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 | 1205132321 | NPPES |
Indiana | MEDICAID | 201236820 |
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