Doctor Name: | DR. MICHAEL J LIBERTI |
NPI Number: | 1316040777 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC DABCN |
License Number: | 761 |
Business Practice Address: | One Parkway Suite 201 Bethel, ME - 04217 |
Business Phone Number: | 2078243899 |
Business Fax Number: | 2078247677 |
Mailing Address: | Po Box 996, One Parkway Suite 201 BETHEL |
State: | ME |
Postal Code: | 04217 |
Phone Number: | 2078243899 |
Fax Number: | 2078247677 |
NPI Enumeration Date: | 09/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 761 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
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. |