Leahy, Mark T

Leahy, Mark T is an sole proprietor health care provider with primary practice located at 700 E 29Th St , Fremont NE 68025-2384. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Leahy, Mark T can be contacted via phone (402) 721-3133.

Contact Information

Primary practice address
700 E 29Th St Fremont NE 68025-2384
Fax: (402) 941-7017
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 19033 Nebraska

Profile Details

NPI number 1629043773
LBN Legal business name Leahy, Mark T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2006
Last updated Nov 1st, 2011 - about 13 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 1629043773 NPPES
Nebraska MEDICAID 47053664516

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