Waldenberger, Leonard James
Waldenberger, Leonard James is an individual health care provider with primary practice located at 2770 Capital Medical Blvd Ste 200, Tallahassee FL 32308-8417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Waldenberger, Leonard James can be contacted via phone (850) 878-8235.Contact Information
Primary practice address
2770 Capital Medical Blvd Ste 200
Tallahassee FL 32308-8417
Phone: (850) 878-8235
Fax: (850) 219-2375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME56839 | Florida |
Profile Details
| NPI number | 1477556728 |
|---|---|
| LBN Legal business name | Waldenberger, Leonard James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Aug 20th, 2016 - 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 | 1477556728 | NPPES |
| Florida | Other | 09721 | INDIVIDUAL PROVIDER BCBS |
| Florida | Other | 99039 | INDIVIDUAL PROVIDER BCBS |
| Florida | MEDICAID | 0051237719 | INDIVIDUAL PROVIDER BCBS |
| Florida | MEDICAID | 061917500 | INDIVIDUAL PROVIDER BCBS |
| Florida | Other | P00625813 | INDIVIDUAL PROVIDER BCBS |
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