Provider Demographics
NPI:1053491308
Name:LEIBLE, DEBORAH C (DC)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:C
Last Name:LEIBLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8090 SORRENTO LN
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-2722
Mailing Address - Country:US
Mailing Address - Phone:239-732-7625
Mailing Address - Fax:
Practice Address - Street 1:8090 SORRENTO LN
Practice Address - Street 2:SUITE 3
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-2722
Practice Address - Country:US
Practice Address - Phone:239-732-7625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-995111N00000X
NYX005494-1111N00000X
FLCH 10802111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1032614OtherAMERICAN SPECIALTY HEALTH
0000261370OtherHMSA
9223241OtherPHCS
0000261370OtherHMSA