Leach, Robert
Leach, Robert is an sole proprietor health care provider with primary practice located at 2408 Tour Edition Dr , Henderson NV 89074-8300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Leach, Robert can be contacted via phone (414) 334-0148.Contact Information
Primary practice address
2408 Tour Edition Dr
Henderson NV 89074-8300
Phone: (414) 334-0148
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 44077-021 | Wisconsin |
Profile Details
| NPI number | 1770575391 |
|---|---|
| LBN Legal business name | Leach, Robert |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Apr 20th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770575391 | NPPES |
| Wisconsin | MEDICAID | 43510200 |
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