Leggett, Porcha

Leggett, Porcha is an sole proprietor health care provider with primary practice located at 285 W 12Th St , Peru IN 46970-1653. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Leggett, Porcha can be contacted via phone (765) 472-5335.

Contact Information

Primary practice address
285 W 12Th St Peru IN 46970-1653
Fax: (260) 479-2921
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01083381A Indiana

Profile Details

NPI number 1962948935
LBN Legal business name Leggett, Porcha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2017
Last updated Mar 14th, 2022 - about 3 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 1962948935 NPPES
Indiana MEDICAID 300040942

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