Wilk, Leonard Mark
Wilk, Leonard Mark is an individual health care provider with primary practice located at 2841 Avenue G Suite Suite 100, White City OR 97503-3030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilk, Leonard Mark can be contacted via phone (541) 826-5252.Contact Information
Primary practice address
2841 Avenue G Suite Suite 100
White City OR 97503-3030
Phone: (541) 826-5252
Fax: (541) 789-5785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD29044 | Oregon |
Profile Details
| NPI number | 1326180688 |
|---|---|
| LBN Legal business name | Wilk, Leonard Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Apr 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326180688 | NPPES |
| Oregon | MEDICAID | 500605321 |
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