Lebauer, Edmund Joseph
Lebauer, Edmund Joseph is an individual health care provider with primary practice located at 1126 N Church St Suite 300, Greensboro NC 27401-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Lebauer, Edmund Joseph can be contacted via phone (336) 547-1700.Contact Information
Primary practice address
1126 N Church St Suite 300
Greensboro NC 27401-1000
Phone: (336) 547-1700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 11887 | North Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 11887 | North Carolina |
Profile Details
| NPI number | 1043274491 |
|---|---|
| LBN Legal business name | Lebauer, Edmund Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1043274491 | NPPES |
| North Carolina | Other | 4097819 | AETNA |
| North Carolina | Other | 615 | AETNA |
| North Carolina | Other | 26888 | AETNA |
| North Carolina | Other | 51335 | AETNA |
| North Carolina | MEDICAID | 8951335 | AETNA |
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