Leja, Randall Mark
Leja, Randall Mark is an sole proprietor health care provider with primary practice located at 100 Michigan St Ne # 13 , Grand Rapids MI 49503-2560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Leja, Randall Mark can be contacted via phone (616) 267-0073.Contact Information
Primary practice address
100 Michigan St Ne # 13
Grand Rapids MI 49503-2560
Phone: (616) 267-0073
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5101019817 | Michigan |
Profile Details
| NPI number | 1891058624 |
|---|---|
| LBN Legal business name | Leja, Randall Mark |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2012 |
| Last updated | Jun 18th, 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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