Liebl, R Scott

Liebl, R Scott is an individual health care provider with primary practice located at 835 S Main St Suite 1, Oconto Falls WI 54154-1241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Liebl, R Scott can be contacted via phone (920) 846-8424.

Contact Information

Primary practice address
835 S Main St Suite 1 Oconto Falls WI 54154-1241
Phone: (920) 846-8424
Fax: (920) 846-2073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 21763020 Wisconsin

Profile Details

NPI number 1639166853
LBN Legal business name Liebl, R Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Sep 2nd, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639166853 NPPES
Wisconsin MEDICAID 11014110
Wisconsin Other 1851477913
Wisconsin Other 390848401050
Wisconsin MEDICAID 30189000

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