Kamelchuk, Leroy A

Kamelchuk, Leroy A is an sole proprietor health care provider with primary practice located at 1107 Gleneagles Dr Sw , Huntsville AL 35801-6405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Kamelchuk, Leroy A can be contacted via phone (256) 882-3312.

Contact Information

Primary practice address
1107 Gleneagles Dr Sw Huntsville AL 35801-6405
Phone: (256) 882-3312
Fax: (256) 882-9472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 4438 Alabama
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 20060 Alabama

Profile Details

NPI number 1528101698
LBN Legal business name Kamelchuk, Leroy A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Aug 16th, 2012 - about 12 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 1528101698 NPPES
Alabama Other 51527421 BLUE CROSS BLUE SHIELD

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