Leistikow, Bruce Norman

Leistikow, Bruce Norman is an individual health care provider with primary practice located at 1 Shields Ave , Davis CA 95616-5270. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Leistikow, Bruce Norman can be contacted via phone (530) 752-1011.

Contact Information

Primary practice address
1 Shields Ave Davis CA 95616-5270
Phone: (530) 752-1011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G80992 California
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X G80992 California
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X G80992 California

Profile Details

NPI number 1265449169
LBN Legal business name Leistikow, Bruce Norman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Feb 15th, 2013 - 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.

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