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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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