Leveque, Dominique D

Leveque, Dominique D is an individual health care provider with primary practice located at 2626 E 46Th St , Indianapolis IN 46205-2380. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Leveque, Dominique D can be contacted via phone (317) 475-9066.

Contact Information

Primary practice address
2626 E 46Th St Indianapolis IN 46205-2380
Phone: (317) 475-9066
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71002011A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002011A Indiana

Profile Details

NPI number 1285785584
LBN Legal business name Leveque, Dominique D
Credentials CPNP, FNPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Jan 4th, 2016 - about 9 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 1285785584 NPPES
Indiana MEDICAID 200822670

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