Leicht, Martin

Leicht, Martin is an individual health care provider with primary practice located at 9331 Old Bustleton Ave Suite 100, Philadelphia PA 19115-4634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Leicht, Martin can be contacted via phone (215) 671-0653.

Contact Information

Primary practice address
9331 Old Bustleton Ave Suite 100 Philadelphia PA 19115-4634
Phone: (215) 671-0653
Fax: (215) 671-0970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD024528E Pennsylvania

Profile Details

NPI number 1841254323
LBN Legal business name Leicht, Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 20th, 2011 - about 13 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 1841254323 NPPES
Pennsylvania MEDICAID 000777434
Pennsylvania Other 597586

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