Douglas Liepert
Otolaryngologist (ENT Doctor)
2012 S Main St Ste B
Goshen
, Indiana 46526-5200
Douglas Liepert
Otolaryngologist (ENT Doctor)
2012 S Main St Ste B
Goshen
, Indiana 46526-5200
(574) 314-5134
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Douglas Liepert
- 53760 Generations Dr
- South Bend, IN
- Zip : 46635-1539
- Fax : (574) 314-5134
- Phone : (574) 500-2010
Second Address
- Douglas Liepert
- 2012 S Main St Ste B
- Goshen, IN
- Zip : 46526-5200
- Phone : (574) 537-0519
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FAQs
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In what state does Douglas Liepert practice in?
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What is Douglas Liepert ’s gender?
Is Douglas Liepert a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 01068512B | IN |
National Provider Identifier
| NPI | 1083675011 |
|---|---|
| Provider Name | Douglas Liepert |
| First Address | South Bend, IN 46635-1539 |
| Second Address | Goshen, IN 46526-5200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2006 |
| Last Update Date | 11/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1083675011 | (05) | WI |
| 200987130 | (05) | IN |
| 899690300 | (05) | MN |
| F90314 | (02) | MN |
| M400019662 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.