Leeburg, William T

Leeburg, William T is an individual health care provider with primary practice located at 601 John St , Kalamazoo MI 49007-5341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Leeburg, William T can be contacted via phone (269) 341-7654.

Contact Information

Primary practice address
601 John St Kalamazoo MI 49007-5341
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301044498 Michigan

Profile Details

NPI number 1275516908
LBN Legal business name Leeburg, William T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jul 16th, 2008 - about 17 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 1275516908 NPPES
Other 220009771 RAILROAD
Other 220012737 RAILROAD
MEDICAID 2933494 RAILROAD
MEDICAID 1490971 RAILROAD

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