Leak, Robert S

Leak, Robert S is an individual health care provider with primary practice located at 210 Village Center Blvd Suite 200, Myrtle Beach SC 29579-6683. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Leak, Robert S can be contacted via phone (843) 236-3222.

Contact Information

Primary practice address
210 Village Center Blvd Suite 200 Myrtle Beach SC 29579-6683
Phone: (843) 236-3222
Fax: (843) 236-3005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 23258 South Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 23258 South Carolina

Profile Details

NPI number 1962468587
LBN Legal business name Leak, Robert S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Aug 25th, 2014 - about 11 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 1962468587 NPPES
North Carolina MEDICAID 8906243
North Carolina MEDICAID T74602

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