Leiker, Angela M

Leiker, Angela M is an individual health care provider with primary practice located at 7111 E 21St Street N Suite A, Wichita KS 67206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Leiker, Angela M can be contacted via phone (316) 684-2851.

Contact Information

Primary practice address
7111 E 21St Street N Suite A Wichita KS 67206
Fax: (316) 686-7338
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-29457 Kansas

Profile Details

NPI number 1336145911
LBN Legal business name Leiker, Angela M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Oct 16th, 2012 - about 14 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 1336145911 NPPES
Kansas Other 102253 BLUE CROSS INDIVIDUAL
Kansas Other 508190 BLUE CROSS INDIVIDUAL
Kansas MEDICAID 100416440A BLUE CROSS INDIVIDUAL
Kansas MEDICAID 100428080A BLUE CROSS INDIVIDUAL
Kansas Other RAILROAD MEDICARE BLUE CROSS INDIVIDUAL

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