Quispe Leveau, Dolly R.

Quispe Leveau, Dolly R. is an individual health care provider with primary practice located at 7910 W Jefferson Blvd , Fort Wayne IN 46804-4159. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Quispe Leveau, Dolly R. can be contacted via phone (260) 484-8830.

Contact Information

Primary practice address
7910 W Jefferson Blvd Fort Wayne IN 46804-4159
Phone: (260) 484-8830
Fax: (260) 843-1911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 201075 Louisiana
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01072629A Indiana
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 201075 Louisiana

Profile Details

NPI number 1821209370
LBN Legal business name Quispe Leveau, Dolly R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Dec 4th, 2023 - about 3 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 1821209370 NPPES
Ohio MEDICAID 0088372
Ohio MEDICAID 201184930

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