Letzer, Jeffrey P

Letzer, Jeffrey P is an individual health care provider with primary practice located at 11050 Parkview Circle Dr , Fort Wayne IN 46845-1739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Letzer, Jeffrey P can be contacted via phone (833) 744-8326.

Contact Information

Primary practice address
11050 Parkview Circle Dr Fort Wayne IN 46845-1739
Phone: (833) 744-8326
Fax: (260) 425-6845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 5101010182 Michigan
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 02005703A Indiana

Profile Details

NPI number 1760481766
LBN Legal business name Letzer, Jeffrey P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Mar 2nd, 2023 - about last year

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 1760481766 NPPES
Michigan Other 123610 GREAT LAKES MEDICAID HMO
Michigan Other 383578337053 GREAT LAKES MEDICAID HMO
Michigan Other 830007320 GREAT LAKES MEDICAID HMO
Michigan Other JL010182 GREAT LAKES MEDICAID HMO
Michigan Other 0N89040 GREAT LAKES MEDICAID HMO
Michigan Other 14662 GREAT LAKES MEDICAID HMO
Michigan Other 3600159 GREAT LAKES MEDICAID HMO
Michigan Other F59303 GREAT LAKES MEDICAID HMO
Michigan MEDICAID 4290016 GREAT LAKES MEDICAID HMO
Michigan Other 01008954 GREAT LAKES MEDICAID HMO

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