Lieberman, Scott A

Lieberman, Scott A is an individual health care provider with primary practice located at 12277 De Paul Dr Ste 305 , Bridgeton MO 63044-2529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lieberman, Scott A can be contacted via phone (314) 344-7585.

Contact Information

Primary practice address
12277 De Paul Dr Ste 305 Bridgeton MO 63044-2529
Fax: (314) 344-2879
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 106459 Missouri

Profile Details

NPI number 1700850088
LBN Legal business name Lieberman, Scott A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 23rd, 2020 - 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 1700850088 NPPES
Missouri Other P00033613 RAILROAD MEDICARE

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