DR. MICHAEL J LIBERTI (NPI# 1316040777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316040777 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J LIBERTI |
| Credential | DC DABCN |
| Practice Address |
1 Parkway Suite 201 Bethel ME 04217-4449 |
| Practice Telephone | 2078243899 |
| Practice Fax Number | 2078247677 |
| Mailing Telephone | 2078243899 |
| Mailing Fax Number | 2078247677 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2016-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 761 | MA | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | CR1055 | ME | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 131690099 | 05 | |
| ME | ANTHEM BCBS | 043438 | 01 |
| CAQH | 10903077 | 01 |
| Street Address |
1 PARKWAY SUITE 201 |
| City | BETHEL |
| State | ME |
| Zip Code | 04217-4449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730547845 | Victoria Crockett-rice | Chiropractor | 1 Parkway, Suite #201, Bethel, ME 04217-4449 | 2016-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568091056 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 320 Mayville Rd, #2, Bethel, ME 04217 | 2020-04-06 |
| 1457877714 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 28 Mayville Rd, Bethel, ME 04217 | 2017-08-18 |
| 1386931749 | William Libby Jr. | Pharmacist | 28 Mayville Rd., Bethel, ME 04217 | 2011-07-06 |
| 1043447618 | Kirk R Mcclelland | Social Worker | 196 Walkers Mills Road, Bethel, ME 04217 | 2009-06-22 |
| 1497889299 | Katina Colombotos | Social Worker | 19 Crescent Lane, Bethel, ME 04217 | 2007-03-15 |
| 1891851499 | Joanna Prudden Drummond | Counselor | 36 Broad Street, Bethel, ME 04217 | 2006-12-28 |
| 1053497313 | Town of Bethel | Ambulance | 183 Main Street, Bethel, ME 04217 | 2006-10-30 |
| 1043288038 | Elizabeth H Meadows | Social Worker | 146 Paradise Road, Bethel, ME 04217 | 2006-03-08 |
| 1215546502 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 320 Mayville Rd, Bethel, ME 04217 | 2020-07-23 |
| 1629550322 | Katelyn Sumner | Pharmacist | 28 Mayville Rd, Bethel, ME 04217 | 2018-08-30 |
| Find all providers in zip 04217 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710449848 | Christina Ann Willis | Chiropractor | 16 Apple Tree Rd, Bethel, CT 06801-1333 | 2019-04-06 |
| 1538525118 | Brandon Michael Zimmer | Chiropractor | 111 W Plane St, Bethel, OH 45106 | 2016-01-12 |
| 1841696374 | Garrett Hussion | Chiropractor | 107 Alex Hately Side A, Bethel, AK 99559 | 2014-11-11 |
| 1629496070 | Arctic Chiropractic Bethel LLC | Chiropractor | 109 Alex Hatley Hwy Suite A, Bethel, AK 99559 | 2014-04-02 |
| 1922387125 | Bethel Chiropractic and Sports Therapy, LLC | Chiropractor | 6a Elizabeth St., Bethel, CT 06801-2100 | 2011-08-05 |
| 1215247077 | Michael Thomas Murphy | Chiropractor | 182 Grassy Plain Street, Bethel, CT 06801 | 2010-10-14 |
| 1316173768 | Richard Steven Wilson | Chiropractor | 2 Stony Hill Rd Ste 101, Bethel, CT 06801-1045 | 2009-05-29 |
| 1215158605 | Keith Allen Erwin I | Chiropractor | 24 Grassy Plain St, Bethel, CT 06801-1700 | 2007-05-01 |
| 1306066600 | Peter Toussaint | Chiropractor | 11 Stony Hill Road, Bethel, CT 06801-1055 | 2007-04-27 |
| 1477677318 | Luann Moratto | Chiropractor | 241 Greenwood Ave, Bethel, CT 06801-2423 | 2007-03-17 |
| Find all providers in BETHEL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.