Dr Charles Louis Liebeknecht, DO is a
General Practice physician based in Pennsville, New Jersey. Dr Charles Louis Liebeknecht is licensed to practice in New Jersey (license number 25MB01738200) and his current practice location is 370 South Broadway, Pennsville, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(856) 678-7819.
NPI number for Dr Charles Louis Liebeknecht is 1255505715 and his current mailing address is 370 South Broadway, Pennsville, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255505715.
Physician's Profile
Full Name | Dr Charles Louis Liebeknecht |
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Gender | Male |
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Speciality | General Practice |
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Location | 370 South Broadway, Pennsville, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255505715
- Provider Enumeration Date: 04/16/2008
- Last Update Date: 04/16/2008
Medical Identifiers
Medical identifiers for Dr Charles Louis Liebeknecht such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255505715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 25MB01738200 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles Louis Liebeknecht is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Charles Louis Liebeknecht, DO 370 South Broadway, Pennsville, NJ 08070-2655 Ph: (856) 678-7819 | Dr Charles Louis Liebeknecht, DO 370 South Broadway, Pennsville, NJ 08070-2655 Ph: (856) 678-7819 |
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