Leiker, Mark A
Leiker, Mark A is an individual health care provider with primary practice located at 7111 E 21St St N Suite A, Wichita KS 67206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Leiker, Mark A can be contacted via phone (316) 684-2851.Contact Information
Primary practice address
7111 E 21St St N Suite A
Wichita KS 67206
Phone: (316) 684-2851
Fax: (316) 686-7338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 04-26415 | Kansas |
Profile Details
| NPI number | 1881698348 |
|---|---|
| LBN Legal business name | Leiker, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2005 |
| Last updated | Oct 22nd, 2012 - about 13 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 | 1881698348 | NPPES |
| Kansas | Other | 101600 | BLUE CROSS INDIVIDUAL |
| Kansas | MEDICAID | 100416440A | BLUE CROSS INDIVIDUAL |
| Kansas | Other | 080183217 | BLUE CROSS INDIVIDUAL |
| Kansas | MEDICAID | 100314730B | BLUE CROSS INDIVIDUAL |
| Kansas | Other | 110718 | BLUE CROSS INDIVIDUAL |
| Kansas | Other | 621762 | BLUE CROSS INDIVIDUAL |
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