Leblanc, Russell A
Leblanc, Russell A is an individual health care provider with primary practice located at 489 W Main St , Lake Leelanau MI 49653-9740. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Leblanc, Russell A can be contacted via phone (231) 256-7877.Contact Information
Primary practice address
489 W Main St
Lake Leelanau MI 49653-9740
Phone: (231) 256-7877
Fax: (231) 256-9529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301006832 | Michigan |
Profile Details
| NPI number | 1659374064 |
|---|---|
| LBN Legal business name | Leblanc, Russell A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Jul 8th, 2008 - 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 | 1659374064 | NPPES |
| Michigan | MEDICAID | 2694706 | |
| Michigan | Other | 950D510120 |
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