Mccune, Leroy Wilson
Mccune, Leroy Wilson is an individual health care provider with primary practice located at 4650 Southwestern Blvd. , Hamburg NY 14075-1465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccune, Leroy Wilson can be contacted via phone (716) 648-2450.Contact Information
Primary practice address
4650 Southwestern Blvd.
Hamburg NY 14075-1465
Phone: (716) 648-2450
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 158075 | New York |
Profile Details
NPI number | 1497741391 |
---|---|
LBN Legal business name | Mccune, Leroy Wilson |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2005 |
Last updated | Jul 21st, 2014 - about 10 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 | 1497741391 | NPPES |
New York | Other | 000510096007 | BC/BS |
New York | MEDICAID | 00903104 | BC/BS |
New York | Other | 0105775 | BC/BS |
New York | Other | 151123BF | BC/BS |
New York | Other | 00010113905 | BC/BS |
New York | Other | 040511000242 | BC/BS |
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