Leblanc, Chad

Leblanc, Chad is an individual health care provider with primary practice located at 1034 North 500 West , Provo UT 84604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Leblanc, Chad can be contacted via phone (801) 373-7850.

Contact Information

Primary practice address
1034 North 500 West Provo UT 84604
Phone: (801) 373-7850
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 58708721204 Utah

Profile Details

NPI number 1588604532
LBN Legal business name Leblanc, Chad
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated May 20th, 2008 - about 18 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 1588604532 NPPES
Other 58708721200001 BCBS
Other 58708721202001 BCBS
Other P00295439 BCBS
Other P00420439 BCBS
MEDICAID 1588604532 BCBS

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