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
Phone: (605) 722-6101
Fax: (605) 719-6133
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669424180 | NPPES |
| South Dakota | Other | 0384 | STATE LICENSE |
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