Lieberman, Craig
Lieberman, Craig is an individual health care provider with primary practice located at 400 Nelson Blvd , Kingstree SC 29556-2662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lieberman, Craig can be contacted via phone (843) 355-5353.Contact Information
Primary practice address
400 Nelson Blvd
Kingstree SC 29556-2662
Phone: (843) 355-5353
Fax: (843) 355-5357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 17138 | South Carolina |
Profile Details
| NPI number | 1487656088 |
|---|---|
| LBN Legal business name | Lieberman, Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jul 1st, 2015 - about 11 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 | 1487656088 | NPPES |
| South Carolina | MEDICAID | 171389 |
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