Individual
MR. MICHAEL J LIBERTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1 PARKWAY SUITE 201, BETHEL, ME 04217-4449
(207) 824-3899
(207) 824-7677
Mailing address
P.O. BOX 996, 1 PARKWAY SUITE 201, BETHEL, ME 04217
(207) 824-3899
(207) 824-7677
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
761
MA
111N00000X
Chiropractor
Primary
CR1055
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043438
ANTHEM BCBS
ME
01
—
10903077
CAQH
—
05
—
131690099
—
ME
Enumeration date
09/07/2006
Last updated
08/18/2022
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