Pittala, Leonard John

Pittala, Leonard John is an individual health care provider with primary practice located at 2101 Corona Rd Ste 102, Columbia MO 65203-2582. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Pittala, Leonard John can be contacted via phone (573) 234-1800.

Contact Information

Primary practice address
2101 Corona Rd Ste 102 Columbia MO 65203-2582
Phone: (573) 234-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R6A65 Missouri
Allopathic & Osteopathic Physicians / General Practice 208D00000X R6A65 Missouri

Profile Details

NPI number 1750351888
LBN Legal business name Pittala, Leonard John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Dec 5th, 2022 - about 2 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 1750351888 NPPES
Missouri Other 09731015 BCBS OF KANSAS CITY INDIV
Missouri MEDICAID 241705904 BCBS OF KANSAS CITY INDIV

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