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Samuel Liebson

Foot Surgery

1597 Deer Park Rd
Port Angeles , Washington 98362-8264

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Image

Samuel Liebson

Foot Surgery

1597 Deer Park Rd
Port Angeles , Washington 98362-8264

(360) 457-9012

Write a Review Save Call

Samuel Liebson

Foot Surgery

1597 Deer Park Rd
Port Angeles , Washington 98362-8264

(360) 457-9012 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Foot Surgery

Languages spoken

  • English

Location

1597 Deer Park Rd Port Angeles , Washington 98362-8264

First Address

  • Samuel Liebson
  • 1597 Deer Park Rd
  • Port Angeles, WA
  • Zip : 98362-8264
  • Fax : (360) 457-9012
  • Phone : (360) 452-6428

Second Address

  • Samuel Liebson
  • 1597 Deer Park Rd
  • Port Angeles, WA
  • Zip : 98362-8264
  • Fax : (360) 457-9012
  • Phone : (360) 452-6428

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FAQs


Where did Samuel Liebson attend graduate school?

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Where did Samuel Liebson do his residency?

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Where did Samuel Liebson do his fellowship?

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Is Samuel Liebson board certified?

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What type of doctor is Samuel Liebson

Foot Surgery

In what state does Samuel Liebson practice in?

Washington

Where is Samuel Liebson ’s practice located?

1597 Deer Park Rd , Port Angeles, Washington, 98362-8264

What is Samuel Liebson ’s gender?

Male

Is Samuel Liebson a sole practitioner?

No

Is Samuel Liebson accepting new patients?

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What languages does Samuel Liebson speak?

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Does Samuel Liebson accept insurance?

Yes, Samuel Liebson accepts insurance

Does Samuel Liebson offers telemedicine?

Samuel Liebson has not indicated if he offers telemedicine

What is Samuel Liebson ’s professional license number?

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What is Samuel Liebson ’s NPI number?

1225116445

Does Samuel Liebson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 213ES0131X Foot Surgery 1755 MA
N 213ES0131X Foot Surgery 2280 OH
Y 213ES0131X Foot Surgery 60015889 WA
N 213ES0131X Foot Surgery N3760 NY

National Provider Identifier

NPI 1225116445
Provider Name Samuel Liebson
First Address Port Angeles, WA 98362-8264
Second Address Port Angeles, WA 98362-8264
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 02/11/2006
Last Update Date 02/03/2016

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
T80738 (02) OH

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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