Leathers, Donald Joel

Leathers, Donald Joel is an individual health care provider with primary practice located at 777 Rural Ave , Williamsport PA 17701-3109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Leathers, Donald Joel can be contacted via phone (570) 321-2321.

Contact Information

Primary practice address
777 Rural Ave Williamsport PA 17701-3109
Phone: (570) 321-2321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD030006E Pennsylvania

Profile Details

NPI number 1629181797
LBN Legal business name Leathers, Donald Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Mar 17th, 2008 - about 18 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 1629181797 NPPES
Pennsylvania Other 475269 HIGHMARK/BLUE SHIELD
Pennsylvania Other 809443 HIGHMARK/BLUE SHIELD
Pennsylvania MEDICAID 0011421630002 HIGHMARK/BLUE SHIELD

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