Bruch, Leslie A

Bruch, Leslie A is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neuropathology, which is considered as her primary health care specialty. Bruch, Leslie A can be contacted via phone (319) 384-8871.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 384-8871
Fax: (319) 384-8053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X 36532 Iowa

Profile Details

NPI number 1740247022
LBN Legal business name Bruch, Leslie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Nov 27th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740247022 NPPES
Iowa Other 11086 WELLMARK BCBS
Iowa Other 11646 WELLMARK BCBS
Iowa MEDICAID 1536318 WELLMARK BCBS
Iowa MEDICAID 2536318 WELLMARK BCBS

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