National Provider Identifier Database

LIBERTY PROVIDER CONSULTING CREDENTIALING
Research Data Abstracter/Coder


Contact Information

LIBERTY PROVIDER CONSULTING & CREDENTIALING
2650 THOUSAND OAKS DR.
SUITE 2902
SAN ANTONIO, TX78232-4149
Phone: 210-701-3494
Fax:
Website:
Specialty Taxonomy Code
* Research Data Abstracter/Coder 1744R1103X

* Indicates primary specialty

NPI Profile & details for LIBERTY PROVIDER CONSULTING & CREDENTIALING

NPI Number 1043694722
Legal business name
LBN
LIBERTY PROVIDER CONSULTING & CREDENTIALING
Authorized official TRACY GIBSON - (CEO)
Entity Organization
Organization subpart No
Enumeration date 07/13/2015
Last updated 07/13/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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