Leasure, Nick C
Leasure, Nick C is an individual health care provider with primary practice located at S 6Th Avenue & Spruce St Trhmc Regional Cancer Center N Ground, West Reading PA 19611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Leasure, Nick C can be contacted via phone (610) 374-4404.Contact Information
Primary practice address
S 6Th Avenue & Spruce St Trhmc Regional Cancer Center N Ground
West Reading PA 19611
Phone: (610) 374-4404
Fax: (610) 374-1396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD032114E | Pennsylvania |
Profile Details
| NPI number | 1538111307 |
|---|---|
| LBN Legal business name | Leasure, Nick C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Feb 3rd, 2010 - about 16 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 | 1538111307 | NPPES |
| Pennsylvania | MEDICAID | 0011250820003 | |
| Pennsylvania | Other | 20010538 | |
| Pennsylvania | Other | 01433301 | |
| Pennsylvania | Other | 128101 | |
| Pennsylvania | Other | 038219 | |
| Pennsylvania | Other | 110039797 |
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