Leake, David Campbell

Leake, David Campbell is an individual health care provider with primary practice located at 2200 Whitney Ave Suite 170, Hamden CT 06518-3691. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Leake, David Campbell can be contacted via phone (203) 752-3100.

Contact Information

Primary practice address
2200 Whitney Ave Suite 170 Hamden CT 06518-3691
Phone: (203) 752-3100
Fax: (203) 752-9291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000031 Connecticut

Profile Details

NPI number 1972581999
LBN Legal business name Leake, David Campbell
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 15th, 2016 - about 9 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 1972581999 NPPES
Connecticut MEDICAID 1972581999

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