Leadbetter, Allen W
Leadbetter, Allen W is an individual health care provider with primary practice located at 46 Wells St , Westerly RI 02891-2924. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Leadbetter, Allen W can be contacted via phone (401) 596-0174.Contact Information
Primary practice address
46 Wells St
Westerly RI 02891-2924
Phone: (401) 596-0174
Fax: (401) 596-2266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | L5016 | Rhode Island |
Profile Details
| NPI number | 1790798023 |
|---|---|
| LBN Legal business name | Leadbetter, Allen W |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Dec 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790798023 | NPPES |
| Rhode Island | Other | 225399 | BLUE SHIELD |
| Rhode Island | MEDICAID | 9002352 | BLUE SHIELD |
| Rhode Island | Other | 010005016RT101 | BLUE SHIELD |
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