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
Phone: (402) 721-3133
Fax: (402) 941-7017
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629043773 | NPPES |
| Nebraska | MEDICAID | 47053664516 |
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