Leach, Robert

Leach, Robert is an sole proprietor health care provider with primary practice located at 2408 Tour Edition Dr , Henderson NV 89074-8300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Leach, Robert can be contacted via phone (414) 334-0148.

Contact Information

Primary practice address
2408 Tour Edition Dr Henderson NV 89074-8300
Phone: (414) 334-0148
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 44077-021 Wisconsin

Profile Details

NPI number 1770575391
LBN Legal business name Leach, Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated Apr 20th, 2015 - about 10 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 1770575391 NPPES
Wisconsin MEDICAID 43510200

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