Leckie, Charles
Leckie, Charles is an individual health care provider with primary practice located at 903 Mississippi Dr , Tupelo MS 38804-0928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Leckie, Charles can be contacted via phone (662) 377-4652.Contact Information
Primary practice address
903 Mississippi Dr
Tupelo MS 38804-0928
Phone: (662) 377-4652
Fax: (662) 377-7925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 16467 | Mississippi |
Profile Details
| NPI number | 1861461378 |
|---|---|
| LBN Legal business name | Leckie, Charles |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Sep 6th, 2012 - about 13 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 | 1861461378 | NPPES |
| Mississippi | MEDICAID | 00125648 |
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