Leonard, Robert Jay

Leonard, Robert Jay is an individual health care provider with primary practice located at 19229 Mack Ave Suite 24, Grosse Pointe Woods MI 48236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Leonard, Robert Jay can be contacted via phone (313) 884-5522.

Contact Information

Primary practice address
19229 Mack Ave Suite 24 Grosse Pointe Woods MI 48236
Phone: (313) 884-5522
Fax: (313) 884-6054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X RL050783 Michigan

Profile Details

NPI number 1710991443
LBN Legal business name Leonard, Robert Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Apr 22nd, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710991443 NPPES
Michigan MEDICAID 3327855
Michigan Other 0824617
Michigan MEDICAID 1981281

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