Leiker, Mark A

Leiker, Mark A is an individual health care provider with primary practice located at 7111 E 21St St N Suite A, Wichita KS 67206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Leiker, Mark A can be contacted via phone (316) 684-2851.

Contact Information

Primary practice address
7111 E 21St St N Suite A Wichita KS 67206
Phone: (316) 684-2851
Fax: (316) 686-7338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-26415 Kansas

Profile Details

NPI number 1881698348
LBN Legal business name Leiker, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2005
Last updated Oct 22nd, 2012 - 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 1881698348 NPPES
Kansas Other 101600 BLUE CROSS INDIVIDUAL
Kansas MEDICAID 100416440A BLUE CROSS INDIVIDUAL
Kansas Other 080183217 BLUE CROSS INDIVIDUAL
Kansas MEDICAID 100314730B BLUE CROSS INDIVIDUAL
Kansas Other 110718 BLUE CROSS INDIVIDUAL
Kansas Other 621762 BLUE CROSS INDIVIDUAL

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