Buccellato, Leonard

Buccellato, Leonard is an individual health care provider with primary practice located at 761 45Th St Ste 108, Munster IN 46321-2893. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Buccellato, Leonard can be contacted via phone (219) 922-5416.

Contact Information

Primary practice address
761 45Th St Ste 108 Munster IN 46321-2893
Phone: (219) 922-5416
Fax: (219) 922-3745
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 01058760 Indiana

Profile Details

NPI number 1437198348
LBN Legal business name Buccellato, Leonard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 20th, 2021 - about 4 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 1437198348 NPPES
Indiana Other M471400308 MEDICARE PTAN
Indiana MEDICAID 200493840 MEDICARE PTAN

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