Mark, Leighton
Mark, Leighton is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Department Of Radiology, Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Mark, Leighton can be contacted via phone (414) 805-3700.Contact Information
Primary practice address
9200 W Wisconsin Ave Department Of Radiology
Milwaukee WI 53226-3522
Phone: (414) 805-3700
Fax: (414) 805-3777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 25648 | Wisconsin |
Profile Details
| NPI number | 1114970852 |
|---|---|
| LBN Legal business name | Mark, Leighton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | May 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114970852 | NPPES |
| Other | 300041524 | RAILROAD MEDICARE | |
| Other | 002000124I | RAILROAD MEDICARE | |
| MEDICAID | 1114970852 | RAILROAD MEDICARE |
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