Leblanc, Edward Timothy
Leblanc, Edward Timothy is an individual health care provider with primary practice located at 4309 W Medical Center Dr Ste A200 , Mchenry IL 60050-8437. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Leblanc, Edward Timothy can be contacted via phone (815) 759-8070.Contact Information
Primary practice address
4309 W Medical Center Dr Ste A200
Mchenry IL 60050-8437
Phone: (815) 759-8070
Fax: (815) 759-4931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 3644-23 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085009681 | Illinois |
Profile Details
| NPI number | 1235476755 |
|---|---|
| LBN Legal business name | Leblanc, Edward Timothy |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2013 |
| Last updated | Sep 8th, 2023 - about 3 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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