Leichliter, Christopher Jon

Leichliter, Christopher Jon is an individual health care provider with primary practice located at 3200 Pleasant Valley Rd , West Bend WI 53095-9274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Leichliter, Christopher Jon can be contacted via phone (262) 334-2400.

Contact Information

Primary practice address
3200 Pleasant Valley Rd West Bend WI 53095-9274
Phone: (262) 334-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 49107 Wisconsin

Profile Details

NPI number 1023029048
LBN Legal business name Leichliter, Christopher Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jun 27th, 2019 - about 5 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 1023029048 NPPES
Wisconsin MEDICAID 102029048

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