Leacock, Benjamin William

Leacock, Benjamin William is an individual health care provider with primary practice located at 200 Health Care Dr , Greenville IL 62246-1154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Leacock, Benjamin William can be contacted via phone (618) 664-1230.

Contact Information

Primary practice address
200 Health Care Dr Greenville IL 62246-1154
Phone: (618) 664-1230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR.0056078 Colorado
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01081797A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2010003231 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 141051 North Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036148647 Illinois

Profile Details

NPI number 1639375140
LBN Legal business name Leacock, Benjamin William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2007
Last updated Nov 1st, 2019 - about 5 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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