Lieberman, Allen Keith
Lieberman, Allen Keith is an individual health care provider with primary practice located at 10801 North Md Pac Expressway Building Ii Suite 150, Austin TX 78759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Lieberman, Allen Keith can be contacted via phone (512) 345-7635.Contact Information
Primary practice address
10801 North Md Pac Expressway Building Ii Suite 150
Austin TX 78759
Phone: (512) 345-7635
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | J6157 | Texas |
Profile Details
NPI number | 1922075787 |
---|---|
LBN Legal business name | Lieberman, Allen Keith |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2006 |
Last updated | Jan 6th, 2009 - about 15 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 | 1922075787 | NPPES |
Texas | MEDICAID | 104397801 |
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