Leitze, Edward M.

Leitze, Edward M. is an individual health care provider with primary practice located at 2705 Enloe St , Hudson WI 54016-8173. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Leitze, Edward M. can be contacted via phone (715) 386-2128.

Contact Information

Primary practice address
2705 Enloe St Hudson WI 54016-8173
Phone: (715) 386-2128
Fax: (715) 386-6119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 451 Wisconsin

Profile Details

NPI number 1396842720
LBN Legal business name Leitze, Edward M.
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 9th, 2007 - about 18 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 1396842720 NPPES
Wisconsin MEDICAID 40176300

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