Leetun, Darin Tracy

Leetun, Darin Tracy is an individual health care provider with primary practice located at 3035 Demers Ave , Grand Forks ND 58201-4040. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Leetun, Darin Tracy can be contacted via phone (701) 746-7521.

Contact Information

Primary practice address
3035 Demers Ave Grand Forks ND 58201-4040
Phone: (701) 746-7521
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MI43084882 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 8133 North Dakota
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X NA North Dakota

Profile Details

NPI number 1225080476
LBN Legal business name Leetun, Darin Tracy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Dec 30th, 2020 - about 5 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 1225080476 NPPES
Michigan Other 0829560001 MEDICARE DME
Michigan MEDICAID 104727842 MEDICARE DME
Michigan Other 0C16002 MEDICARE DME
Michigan Other DL084882 MEDICARE DME

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