Leboutillier, Martin

Leboutillier, Martin is an individual health care provider with primary practice located at Fourth & Walnut Sts 2Nd Fl, Lebanon PA 17042-1281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Leboutillier, Martin can be contacted via phone (717) 270-3751.

Contact Information

Primary practice address
Fourth & Walnut Sts 2Nd Fl Lebanon PA 17042-1281
Phone: (717) 270-3751
Fax: (717) 270-3754
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD065743L Pennsylvania

Profile Details

NPI number 1831152651
LBN Legal business name Leboutillier, Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 20th, 2016 - about 10 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 1831152651 NPPES
Maryland MEDICAID 058255700
Maryland MEDICAID 001708549
Maryland Other 30139141
Maryland Other 976216
Maryland Other 1511587

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