Liepke, Matthew John

Liepke, Matthew John is an individual health care provider with primary practice located at 33 E Schuyler St , Oswego NY 13126-1161. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Liepke, Matthew John can be contacted via phone (315) 343-6974.

Contact Information

Primary practice address
33 E Schuyler St Oswego NY 13126-1161
Phone: (315) 343-6974
Fax: (315) 342-3625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 234523 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 234523 New York

Profile Details

NPI number 1245220656
LBN Legal business name Liepke, Matthew John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Mar 25th, 2011 - about 13 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 1245220656 NPPES
New York MEDICAID 02635330

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