Lieberman, Philip

Lieberman, Philip is an individual health care provider with primary practice located at 22 Area Medical Clinic Bldg 22190, Fpo AA 92058. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Lieberman, Philip can be contacted via phone (760) 725-2969.

Contact Information

Primary practice address
22 Area Medical Clinic Bldg 22190 Fpo AA 92058
Phone: (760) 725-2969
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 0101267819 Virginia

Profile Details

NPI number 1669979316
LBN Legal business name Lieberman, Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2018
Last updated Sep 13th, 2021 - about 4 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 1669979316 NPPES
Virginia Other 0101267819 MEDICINE LICENSE

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