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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1437198348 | NPPES |
| Indiana | Other | M471400308 | MEDICARE PTAN |
| Indiana | MEDICAID | 200493840 | MEDICARE PTAN |
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