Caudill, Leroy

Caudill, Leroy is an individual health care provider with primary practice located at 459 Locust Ave Mb 26, Charlottesville VA 22902-4808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Caudill, Leroy can be contacted via phone (434) 982-7150.

Contact Information

Primary practice address
459 Locust Ave Mb 26 Charlottesville VA 22902-4808
Fax: (434) 982-7147
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01022036975 Virginia

Profile Details

NPI number 1912977828
LBN Legal business name Caudill, Leroy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 6th, 2008 - about 16 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 1912977828 NPPES
Virginia MEDICAID 010134064
Virginia Other 50101
Virginia Other 165934
Virginia Other 166054
Virginia MEDICAID 50101

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