Doctor Name: | MR. BERNARD E LIBEL |
NPI Number: | 1700041522 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | B. A., BC-HIS |
License Number: | 2002030817 |
Business Practice Address: | 1105 S Belt Hwy Saint Joseph, MO - 645072224 |
Business Phone Number: | 8166762900 |
Business Fax Number: | 8166762901 |
Mailing Address: | 1105 S Belt Hwy, SAINT JOSEPH |
State: | MO |
Postal Code: | 645072224 |
Phone Number: | 8166762900 |
Fax Number: | 8166762901 |
NPI Enumeration Date: | 07/21/2008 |
NPI Last Update Date: | 07/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2002030817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |