Leadbetter, Larry M

Leadbetter, Larry M is an individual health care provider with primary practice located at 705 Pleasant Ave S , Park Rapids MN 56470-1440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Leadbetter, Larry M can be contacted via phone (218) 732-2800.

Contact Information

Primary practice address
705 Pleasant Ave S Park Rapids MN 56470-1440
Phone: (218) 732-2800
Fax: (218) 732-2857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36604 Minnesota

Profile Details

NPI number 1255372900
LBN Legal business name Leadbetter, Larry M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 22nd, 2011 - about 14 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 1255372900 NPPES
Minnesota Other 0402550 MEDICA #
Minnesota Other 0402551 MEDICA #
Minnesota Other 110073027 MEDICA #
Minnesota Other 167284 MEDICA #
Minnesota Other 0403068 MEDICA #
Minnesota Other 2M786LE MEDICA #
Minnesota Other 899037 MEDICA #
Minnesota MEDICAID 692765300 MEDICA #
Minnesota Other 11721 MEDICA #
Minnesota Other 8F747LE MEDICA #
Minnesota Other DA9041015687 MEDICA #
Minnesota Other 8F746LE MEDICA #
Minnesota Other HP19540 MEDICA #
Minnesota Other MN100005 MEDICA #

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