Liepert, Douglas

Liepert, Douglas is an sole proprietor health care provider with primary practice located at 53760 Generations Dr , South Bend IN 46635-1539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Liepert, Douglas can be contacted via phone (574) 500-2010.

Contact Information

Primary practice address
53760 Generations Dr South Bend IN 46635-1539
Phone: (574) 500-2010
Fax: (888) 919-1083
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01068512B Indiana
Allopathic & Osteopathic Physicians / Sleep Medicine 207YS0012X 01068512A Indiana

Profile Details

NPI number 1083675011
LBN Legal business name Liepert, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2006
Last updated Apr 5th, 2022 - about 3 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 1083675011 NPPES
Minnesota MEDICAID 899690300
Minnesota MEDICAID 1083675011
Minnesota MEDICAID 200987130

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