Sisk, Leonard D

Sisk, Leonard D is an individual health care provider with primary practice located at 3200 Providence Dr , Anchorage AK 99508-4661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Sisk, Leonard D can be contacted via phone (907) 261-3641.

Contact Information

Primary practice address
3200 Providence Dr Anchorage AK 99508-4661
Fax: (907) 565-8066
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2697 Alaska

Profile Details

NPI number 1851387781
LBN Legal business name Sisk, Leonard D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 8th, 2015 - 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 1851387781 NPPES
Alaska MEDICAID MDZ697

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