Leeper, Virginia Marie Bruder

Leeper, Virginia Marie Bruder is an individual health care provider with primary practice located at 11110 Medical Campus Rd Ste 125 , Hagerstown MD 21742-6799. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Leeper, Virginia Marie Bruder can be contacted via phone (301) 714-4335.

Contact Information

Primary practice address
11110 Medical Campus Rd Ste 125 Hagerstown MD 21742-6799
Phone: (301) 714-4335
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C00006851 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1154808053
LBN Legal business name Leeper, Virginia Marie Bruder
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2018
Last updated Nov 9th, 2021 - about 4 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 1154808053 NPPES
Illinois Other 085.008214 PHYSICIAN ASSISTANT

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