Dizon, Leonides

Dizon, Leonides is an individual health care provider with primary practice located at 2463 S M 30 , West Branch MI 48661-9312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dizon, Leonides can be contacted via phone (989) 345-3660.

Contact Information

Primary practice address
2463 S M 30 West Branch MI 48661-9312
Phone: (989) 345-3660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301032990 Michigan

Profile Details

NPI number 1619992088
LBN Legal business name Dizon, Leonides
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Feb 8th, 2008 - about 17 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 1619992088 NPPES
Michigan MEDICAID 4214542

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