Doctor Name: | MICAH J LIEBERMAN |
NPI Number: | 1184903593 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 2011026323 |
Business Practice Address: | 13642 Riverway Dr Unit C Chesterfield, MO - 630172656 |
Business Phone Number: | 9089388323 |
Business Fax Number: | |
Mailing Address: | 13642 Riverway Dr, Unit C CHESTERFIELD |
State: | MO |
Postal Code: | 630172656 |
Phone Number: | 9089388323 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2011 |
NPI Last Update Date: | 10/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2011026323 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |