Lieberg, Olaf U

Lieberg, Olaf U is an individual health care provider with primary practice located at 789 Pre Emption Rd Suite 600, Geneva NY 14456-2069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Lieberg, Olaf U can be contacted via phone (315) 719-0060.

Contact Information

Primary practice address
789 Pre Emption Rd Suite 600 Geneva NY 14456-2069
Phone: (315) 719-0060
Fax: (315) 719-0230
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 118724 New York

Profile Details

NPI number 1417902867
LBN Legal business name Lieberg, Olaf U
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Oct 29th, 2009 - about 16 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 1417902867 NPPES
Other 0598530 GHI
Other 100675CU GHI
MEDICAID 00436508 GHI
Other P030118724 GHI
Other P00307208 GHI
Other P010118724 GHI
Other 1187244W GHI

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