Active NPIIndividual provider

Jonathan Liebman, NP

Nurse Practitioner, Community Health in Worthington, Massachusetts

NPI Number1790755171
Practice location
58 Old North RD, Worthington, MA 01098-9753
Fax
413-238-5358
Last updated
February 6, 2015

Jonathan Liebman is a Nurse Practitioner, Community Health based in Worthington, MA. Jonathan Liebman practices in Worthington, MA and has the professional credentials of NP. The NPI Number for Jonathan Liebman is 1790755171 and holds a License No. 226054 (MA). The current practice location address for Jonathan Liebman is 58 Old North RD, Worthington, MA 01098-9753 and can be reached out via phone at 413-238-5511 and via fax at 413-238-5358.

Provider Profile Details

NPI Number
1790755171
Provider Name
Jonathan Liebman
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
58 Old North RD, Worthington, MA 01098-9753
Phone Number
413-238-5511
Fax Number
413-238-5358
Primary Taxonomy
Nurse Practitioner, Community Health · 363LC1500X
Sole Proprietor
No
Provider Enumeration Date
January 26, 2006
Last Update Date
February 6, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
58 Old North RD
Worthington, MA 01098-9753
Zip
01098-9753
Phone Number
413-238-5511
Fax Number
413-238-5358
Worthington, MA 01098Get directions →

Provider Business Mailing Address Details

Address
58 Old North RD
Worthington, MA 01098-9753
City
Worthington
State
MA
Zip
01098-9753
Phone Number
413-238-5511
Fax Number
413-238-5358

License Information

License Number
226054
License State
MA
Taxonomy
Nurse Practitioner, Community Health · 363LC1500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jonathan Liebman, NP?

The NPI number of Jonathan Liebman, NP is 1790755171. It was assigned on January 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Jonathan Liebman, NP?

Jonathan Liebman, NP is registered under the primary taxonomy Nurse Practitioner, Community Health (code 363LC1500X), licensed in MA under license number 226054.

Where does Jonathan Liebman, NP practice?

The practice location is 58 Old North RD, Worthington, MA 01098-9753. The office can be reached at 413-238-5511 (phone) or 413-238-5358 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790755171 directly on the NPPES registry website.

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