Leclercq, Baudouin
Leclercq, Baudouin is an sole proprietor health care provider with primary practice located at 2810 W Saint Isabel St Ste 102 , Tampa FL 33607-6375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Leclercq, Baudouin can be contacted via phone (813) 872-8480.Contact Information
Primary practice address
2810 W Saint Isabel St Ste 102
Tampa FL 33607-6375
Phone: (813) 872-8480
Fax: (813) 872-8579
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME81654 | Florida |
Profile Details
NPI number | 1922007764 |
---|---|
LBN Legal business name | Leclercq, Baudouin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 14th, 2005 |
Last updated | Jan 2nd, 2019 - about 5 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 | 1922007764 | NPPES |
Florida | MEDICAID | 260633000 | |
Florida | Other | P00150829 | |
Florida | Other | CD4677 |
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