Ledig, Carl Bruce

Ledig, Carl Bruce is an individual health care provider with primary practice located at 104 Endicott St Suite 200, Danvers MA 01923-3623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Ledig, Carl Bruce can be contacted via phone (978) 882-6868.

Contact Information

Primary practice address
104 Endicott St Suite 200 Danvers MA 01923-3623
Phone: (978) 882-6868
Fax: (978) 882-6855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 704082 Massachusetts
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 704082 Massachusetts

Profile Details

NPI number 1497749410
LBN Legal business name Ledig, Carl Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated May 18th, 2012 - about 12 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 1497749410 NPPES
Massachusetts MEDICAID 2062321

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