Liedman, Carl Nelson
Liedman, Carl Nelson is an individual health care provider with primary practice located at 841 E Hunting Park Ave Suite 110, Philadelphia PA 19124-4800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Liedman, Carl Nelson can be contacted via phone (215) 535-4494.Contact Information
Primary practice address
841 E Hunting Park Ave Suite 110
Philadelphia PA 19124-4800
Phone: (215) 535-4494
Fax: (215) 535-4203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 193400000X | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS004520L | Pennsylvania |
Profile Details
| NPI number | 1164427910 |
|---|---|
| LBN Legal business name | Liedman, Carl Nelson |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Sep 19th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164427910 | NPPES |
| Pennsylvania | Other | 0075139402 | AMERICHOICE |
| Pennsylvania | Other | 6128979 | AMERICHOICE |
| Pennsylvania | Other | 100008 | AMERICHOICE |
| Pennsylvania | Other | 110159242 | AMERICHOICE |
| Pennsylvania | Other | 173358 | AMERICHOICE |
| Pennsylvania | Other | 108074 | AMERICHOICE |
| Pennsylvania | Other | PA10333 | AMERICHOICE |
| Pennsylvania | Other | 00422 | AMERICHOICE |
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