Jesse R. Liebman is a Nutrition in Marlton, New Jersey. Jesse R. Liebman practices all healthcare services and medical treatments related to Nutrition. The NPI Number for Jesse R. Liebman is 1962552638. The last update date is 2007-09-28.
Jesse R. Liebman's current location address is 100 Old Marlton Pike W, Marlton, New Jersey. You can contact this provider via phone number 8565963000 and fax number 8565963301. The mailing address for Jesse R. Liebman is 100 Old Marlton Pike W, Marlton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse R. Liebman |
|---|---|
| Address | 100 Old Marlton Pike W, Marlton, New Jersey |
| Phone Number | 8565963000 |
| Fax Number | 8565963301 |
| Sole Proprietor | Y |
| Credentials | DC. |
NPI Number Detail
| NPI Number | 1962552638 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2007-09-28 |
Provider Mailing Address Detail
| Address | 100 Old Marlton Pike W |
|---|---|
| City | Marlton |
| State | New Jersey (NJ) |
| Post Code | 80532026 |
| Phone Number | 8565963000 |
| Fax Number | 8565963301 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition |
|---|---|
| Taxonomy | 111Nn1001X |
| Licence No | 38MC00423400 |
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Definition: Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P2705755 | NJ | OXFORD | |
| U35059 | NJ | -- | |
| 2116578000 | NJ | AMERIHEALTH | |
| 2116578000 | NJ | KEYSTONE HEALTH PLAN EAST | |
| 2116578000 | NJ | PA.BLUE SHIELD-PERS.CH. | |
| 2664713 | NJ | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jesse R. Liebman by the Centers for Medicare & Medicaid Services?
The Jesse R. Liebman has been issued the NPI (National Provider Identifier) 1962552638, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jesse R. Liebman is physically located?
The Jesse R. Liebman is physically situated at the following address: 100 Old Marlton Pike W, Marlton, NJ, 80532026.
What is Jesse R. Liebman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jesse R. Liebman is Nutrition, and the taxonomy code that categorizes this field of expertise is 111Nn1001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962552638 to Jesse R. Liebman?
The Centers for Medicare & Medicaid Services originally issued the 1962552638 to Jesse R. Liebman on 2007-01-12.
As of what date was the information pertaining to Jesse R. Liebman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jesse R. Liebman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-28.
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