D&K LIEBOW LLC NPI 1184645723

NPI Information

NPI: 1184645723
Provider Name: D&K LIEBOW LLC

Doing Business As: SOUTHERN VERMONT PODIATRY

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
382 CANAL ST
BRATTLEBORO, VT
ZIP 05301
Phone: (802) 254-0202
Get Directions

D&K LIEBOW LLC is a foot and ankle surgery podiatrist in Brattleboro, VT. D&K LIEBOW LLC NPI is 1184645723. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Vermont Podiatry.

The provider's business location address is:

382 CANAL ST
BRATTLEBORO, VT
ZIP 05301-617
Phone: (802) 254-0202
Fax: (802) 246-1300

The provider's authorized official is David Liebow .
The authorized official title is President and has the following contact phone number (802) 254-0202.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 10/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		056-0000157	VERMONT	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1012948	MEDICAID	VERMONT
2	VN4098	MEDICARE ID-TYPE UNSPECIFIED	VERMONT	MEDICARE
3	5957700001	MEDICARE NSC	VERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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