Leonard, Robert Michael

Leonard, Robert Michael is an individual health care provider with primary practice located at 61 Charles St , Deadwood SD 57732-1303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Leonard, Robert Michael can be contacted via phone (605) 722-6101.

Contact Information

Primary practice address
61 Charles St Deadwood SD 57732-1303
Fax: (605) 719-6133
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0384 South Dakota

Profile Details

NPI number 1669424180
LBN Legal business name Leonard, Robert Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jan 22nd, 2020 - about 5 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 1669424180 NPPES
South Dakota Other 0384 STATE LICENSE

Popular Providers