Katkovsky, Leonid M.
Katkovsky, Leonid M. is an sole proprietor health care provider with primary practice located at 15301 Warren Shingle Rd 9Th Mdg, Beale Afb CA 95903-1907. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Katkovsky, Leonid M. can be contacted via phone (530) 634-4730.Contact Information
Primary practice address
15301 Warren Shingle Rd 9Th Mdg
Beale Afb CA 95903-1907
Phone: (530) 634-4730
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | 77555 | Ohio |
Profile Details
| NPI number | 1821087719 |
|---|---|
| LBN Legal business name | Katkovsky, Leonid M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Feb 25th, 2008 - about 17 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 | 1821087719 | NPPES |
| Ohio | Other | 77555 | MEDICAL LICENSE |
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