Lieberman, Ina G.
Lieberman, Ina G. is an individual health care provider with primary practice located at 240 W Thomas Rd 301, Phoenix AZ 85013-4407. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Lieberman, Ina G. can be contacted via phone (602) 406-4931.Contact Information
Primary practice address
240 W Thomas Rd 301
Phoenix AZ 85013-4407
Phone: (602) 406-4931
Fax: (602) 406-4522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 35117 | Arizona |
Profile Details
| NPI number | 1912970765 |
|---|---|
| LBN Legal business name | Lieberman, Ina G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | May 3rd, 2012 - about 12 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 | 1912970765 | NPPES |
| Arizona | MEDICAID | 289208 |
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