Leis, Henry Theodore
Leis, Henry Theodore is an individual health care provider with primary practice located at 1720A Medical Park Dr Suite 220, Biloxi MS 39532-2129. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Leis, Henry Theodore can be contacted via phone (228) 392-9355.Contact Information
Primary practice address
1720A Medical Park Dr Suite 220
Biloxi MS 39532-2129
Phone: (228) 392-9355
Fax: (228) 392-1781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 19613 | Mississippi |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 19613 | Mississippi |
Profile Details
| NPI number | 1417946013 |
|---|---|
| LBN Legal business name | Leis, Henry Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Mar 22nd, 2017 - about 8 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 | 1417946013 | NPPES |
| Mississippi | Other | 512I200015 | MEDICARE PTAN |
| Mississippi | MEDICAID | 06608789 | MEDICARE PTAN |
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