Leitkam, Bruce C

Leitkam, Bruce C is an sole proprietor health care provider with primary practice located at 490 W Broad St , Linden MI 48451-8768. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Leitkam, Bruce C can be contacted via phone (810) 735-1231.

Contact Information

Primary practice address
490 W Broad St Linden MI 48451-8768
Phone: (810) 735-1231
Fax: (810) 735-1092
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5101006591 Michigan

Profile Details

NPI number 1922066356
LBN Legal business name Leitkam, Bruce C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Jan 22nd, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922066356 NPPES
Michigan Other 4075401 AETNA
Michigan MEDICAID 1552457 AETNA
Michigan Other M028466 AETNA
Michigan Other 015251061 AETNA

Popular Providers