Leonhardt, Dwain Alan
Leonhardt, Dwain Alan is an individual health care provider with primary practice located at 4501 S 70Th St Suite 130, Lincoln NE 68516-4282. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Leonhardt, Dwain Alan can be contacted via phone (402) 484-4940.Contact Information
Primary practice address
4501 S 70Th St Suite 130
Lincoln NE 68516-4282
Phone: (402) 484-4940
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 19915 | Nebraska |
Profile Details
| NPI number | 1497755474 |
|---|---|
| LBN Legal business name | Leonhardt, Dwain Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Feb 23rd, 2010 - about 14 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 | 1497755474 | NPPES |
| Nebraska | Other | 30567 | BCBS |
| Nebraska | MEDICAID | 47082189713 | BCBS |
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