Loebenberg, Michael Jay

Loebenberg, Michael Jay is an individual health care provider with primary practice located at 3890 Bienville Blvd , Ocean Springs MS 39564-5803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Loebenberg, Michael Jay can be contacted via phone (228) 872-6291.

Contact Information

Primary practice address
3890 Bienville Blvd Ocean Springs MS 39564-5803
Phone: (228) 872-6291
Fax: (228) 872-7627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 17240 Mississippi

Profile Details

NPI number 1790785277
LBN Legal business name Loebenberg, Michael Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Jan 27th, 2014 - about 10 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 1790785277 NPPES
Mississippi MEDICAID 00124460

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