Leickly, Frederick E

Leickly, Frederick E is an individual health care provider with primary practice located at 2665 Fox Pointe Dr , Columbus IN 47203-3222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Leickly, Frederick E can be contacted via phone (812) 378-3131.

Contact Information

Primary practice address
2665 Fox Pointe Dr Columbus IN 47203-3222
Phone: (812) 378-3131
Fax: (812) 379-9251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 01042436A Indiana

Profile Details

NPI number 1679682710
LBN Legal business name Leickly, Frederick E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated May 3rd, 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 1679682710 NPPES
Indiana MEDICAID 100379150
Indiana Other IN1125015

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