Pedell, Leon

Pedell, Leon is an individual health care provider with primary practice located at 3601 W 13 Mile Rd , Royal Oak MI 48073-6712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pedell, Leon can be contacted via phone (248) 618-6260.

Contact Information

Primary practice address
3601 W 13 Mile Rd Royal Oak MI 48073-6712
Fax: (284) 618-6260
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X LP036862 Michigan

Profile Details

NPI number 1992744973
LBN Legal business name Pedell, Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1992744973 NPPES
Michigan MEDICAID 2097821
Michigan Other 1106348892

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