Liebman, Jesse R.

Liebman, Jesse R. is an sole proprietor health care provider with primary practice located at 100 Old Marlton Pike W , Marlton NJ 08053-2026. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Liebman, Jesse R. can be contacted via phone (856) 596-3000.

Contact Information

Primary practice address
100 Old Marlton Pike W Marlton NJ 08053-2026
Phone: (856) 596-3000
Fax: (856) 596-3301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X 38MC00423400 New Jersey

Profile Details

NPI number 1962552638
LBN Legal business name Liebman, Jesse R.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Sep 28th, 2007 - about 17 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 1962552638 NPPES
New Jersey Other P2705755 OXFORD
New Jersey MEDICAID U35059 OXFORD
New Jersey Other 2116578000 OXFORD
New Jersey Other 2116578000 OXFORD
New Jersey Other 2116578000 OXFORD
New Jersey Other 2664713 OXFORD

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