Liebelt, Erica L
Liebelt, Erica L is an individual health care provider with primary practice located at 1 Childrens Way # 512-1 , Little Rock AR 72202-3500. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Liebelt, Erica L can be contacted via phone (501) 364-1100.Contact Information
Primary practice address
1 Childrens Way # 512-1
Little Rock AR 72202-3500
Phone: (501) 364-1100
Fax: (501) 364-4082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | MD60672684 | Washington |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E-13933 | Arkansas |
| Allopathic & Osteopathic Physicians / Medical Toxicology | 2080T0002X | E-13933 | Arkansas |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | E-13933 | Arkansas |
Profile Details
| NPI number | 1356338131 |
|---|---|
| LBN Legal business name | Liebelt, Erica L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Jun 5th, 2023 - 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 | 1356338131 | NPPES |
| Alabama | Other | 1356338131 | TRICARE SOUTH |
| Alabama | MEDICAID | 009920235 | TRICARE SOUTH |
| Alabama | Other | 515-19935 | TRICARE SOUTH |
| Alabama | MEDICAID | 009914022 | TRICARE SOUTH |
| Alabama | MEDICAID | 051519935 | TRICARE SOUTH |
| Alabama | Other | 515-15179 | TRICARE SOUTH |
| Alabama | Other | 515-46207 | TRICARE SOUTH |
| Alabama | Other | 7624702 | TRICARE SOUTH |
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