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
Phone: (765) 472-5335
Fax: (260) 479-2921
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962948935 | NPPES |
| Indiana | MEDICAID | 300040942 |
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