Liebman, Jonathan

Liebman, Jonathan is an individual health care provider with primary practice located at 58 Old North Rd , Worthington MA 01098-9753. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as his primary health care specialty. Liebman, Jonathan can be contacted via phone (413) 238-5511.

Contact Information

Primary practice address
58 Old North Rd Worthington MA 01098-9753
Phone: (413) 238-5511
Fax: (413) 238-5358
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 226054 Massachusetts

Profile Details

NPI number 1790755171
LBN Legal business name Liebman, Jonathan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Feb 6th, 2015 - about 9 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 1790755171 NPPES
Massachusetts Other NP1363 BLUE CROSS BLUE SHIELD

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