Leitch, Rosemary E
Leitch, Rosemary E is an sole proprietor health care provider with primary practice located at 11123 Parkview Plaza Dr Suite 2, Fort Wayne IN 46845-1707. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Leitch, Rosemary E can be contacted via phone (260) 490-6261.Contact Information
Primary practice address
11123 Parkview Plaza Dr Suite 2
Fort Wayne IN 46845-1707
Phone: (260) 490-6261
Fax: (260) 490-6261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01035629 | Indiana |
Profile Details
| NPI number | 1609095231 |
|---|---|
| LBN Legal business name | Leitch, Rosemary E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Mar 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609095231 | NPPES |
| Indiana | MEDICAID | 100138260 | |
| Indiana | MEDICAID | 3133880 | |
| Indiana | Other | 000000686566 |
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