Keiser, Leroy Wayne

Keiser, Leroy Wayne is an individual health care provider with primary practice located at 3555 Round Barn Cir Ste 100 , Santa Rosa CA 95403-1757. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Keiser, Leroy Wayne can be contacted via phone (707) 528-1050.

Contact Information

Primary practice address
3555 Round Barn Cir Ste 100 Santa Rosa CA 95403-1757
Phone: (707) 528-1050
Fax: (707) 525-3874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X G28436 California
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X G28436 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G28436 California

Profile Details

NPI number 1417047283
LBN Legal business name Keiser, Leroy Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Nov 3rd, 2021 - about 5 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 1417047283 NPPES
California MEDICAID 00G284360

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