Leitz, Evan Michael

Leitz, Evan Michael is an individual health care provider with primary practice located at 2101 W Arlington Blvd Ste 210 , Greenville NC 27834-5758. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Leitz, Evan Michael can be contacted via phone (252) 931-7638.

Contact Information

Primary practice address
2101 W Arlington Blvd Ste 210 Greenville NC 27834-5758
Phone: (252) 931-7638
Fax: (529) 317-6942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X MD60294460 Washington
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X MD191804 Oregon
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD191804 Oregon
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD60294460 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2022-00758 North Carolina

Profile Details

NPI number 1013177344
LBN Legal business name Leitz, Evan Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Apr 29th, 2022 - about 2 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 1013177344 NPPES
Washington Other 0369498 L&I-UAOM
Washington Other 0369496 L&I-UAOM
Washington MEDICAID 2020312 L&I-UAOM
Washington Other 0334294 L&I-UAOM
Washington Other 0369494 L&I-UAOM

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