Provider Demographics
NPI:1881069581
Name:MATTHEW J. LIEBER, D.C., LLC
Entity type:Organization
Organization Name:MATTHEW J. LIEBER, D.C., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:LIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-436-7227
Mailing Address - Street 1:677 TOMLINSON LN
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-6329
Mailing Address - Country:US
Mailing Address - Phone:215-436-7227
Mailing Address - Fax:
Practice Address - Street 1:81 BIG OAK RD
Practice Address - Street 2:SUITE 124
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7801
Practice Address - Country:US
Practice Address - Phone:215-971-2720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-07
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-006195-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty