Leasure, Nick C

Leasure, Nick C is an individual health care provider with primary practice located at S 6Th Avenue & Spruce St Trhmc Regional Cancer Center N Ground, West Reading PA 19611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Leasure, Nick C can be contacted via phone (610) 374-4404.

Contact Information

Primary practice address
S 6Th Avenue & Spruce St Trhmc Regional Cancer Center N Ground West Reading PA 19611
Phone: (610) 374-4404
Fax: (610) 374-1396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD032114E Pennsylvania

Profile Details

NPI number 1538111307
LBN Legal business name Leasure, Nick C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Feb 3rd, 2010 - about 16 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 1538111307 NPPES
Pennsylvania MEDICAID 0011250820003
Pennsylvania Other 20010538
Pennsylvania Other 01433301
Pennsylvania Other 128101
Pennsylvania Other 038219
Pennsylvania Other 110039797

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