Leitschuh, Angelina M

Leitschuh, Angelina M is an individual health care provider with primary practice located at 1181 S State Route 157 Ste 200 , Edwardsville IL 62025-3897. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Leitschuh, Angelina M can be contacted via phone (618) 628-8211.

Contact Information

Primary practice address
1181 S State Route 157 Ste 200 Edwardsville IL 62025-3897
Phone: (618) 628-8211
Fax: (618) 628-0883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209017871 Illinois

Profile Details

NPI number 1508343161
LBN Legal business name Leitschuh, Angelina M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2018
Last updated Aug 17th, 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 1508343161 NPPES
Illinois Other 209017871 IL STATE LICENSE

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