Individual
WALTER DICKINSON LIEBKEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1331 N ELM ST STE 200, GREENSBORO, NC 27401-6304
(336) 274-6682
(336) 274-8097
Mailing address
PO BOX 85378, CHICAGO, IL 60689-5378
(336) 274-6682
(336) 274-8097
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9701459
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1130Y
BLUE CROSS BLUE SHIELD
NC
05
—
1376526434
—
VA
01
—
1608405
UNITED HEALTHCARE
NC
01
—
300111715
RAILROAD MEDICARE
NC
05
—
891130Y
—
NC
01
—
98523
MEDCOST
NC
Enumeration date
11/22/2005
Last updated
10/01/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us