Leffke, Gary Stephen

Leffke, Gary Stephen is an individual health care provider with primary practice located at 1821 Old Donation Pkwy Suite 10, Virginia Beach VA 23454. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Leffke, Gary Stephen can be contacted via phone (757) 481-4003.

Contact Information

Primary practice address
1821 Old Donation Pkwy Suite 10 Virginia Beach VA 23454
Phone: (757) 481-4003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 2201000097 Virginia

Profile Details

NPI number 1639200983
LBN Legal business name Leffke, Gary Stephen
Credentials AD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - 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 1639200983 NPPES
Virginia MEDICAID 01016231

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