Leicht, David J
Leicht, David J is an individual health care provider with primary practice located at 444 N Westhill Blvd , Appleton WI 54914-5715. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Leicht, David J can be contacted via phone (920) 750-7000.Contact Information
Primary practice address
444 N Westhill Blvd
Appleton WI 54914-5715
Phone: (920) 750-7000
Fax: (920) 364-2451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1357 | Wisconsin |
Profile Details
| NPI number | 1417941071 |
|---|---|
| LBN Legal business name | Leicht, David J |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Nov 29th, 2017 - about 7 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 | 1417941071 | NPPES |
| Wisconsin | MEDICAID | 39078500 |
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