Leeser, David Black
Leeser, David Black is an individual health care provider with primary practice located at 517 Moye Blvd , Greenville NC 27834-2849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Leeser, David Black can be contacted via phone (252) 744-4262.Contact Information
Primary practice address
517 Moye Blvd
Greenville NC 27834-2849
Phone: (252) 744-4262
Fax: (252) 744-3452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2017-01194 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 035611 | District of Columbia |
Profile Details
| NPI number | 1568486397 |
|---|---|
| LBN Legal business name | Leeser, David Black |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | May 17th, 2022 - about 4 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 | 1568486397 | NPPES |
| North Carolina | Other | NCX674A | BCBS OF NC |
| North Carolina | MEDICAID | 1568486397 | BCBS OF NC |
| North Carolina | Other | NCX674A | BCBS OF NC |
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