Wisotsky, Leonard
Wisotsky, Leonard is an sole proprietor health care provider with primary practice located at 6188 Oxon Hill Rd Ste 804, Oxon Hill MD 20745-3113. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Wisotsky, Leonard can be contacted via phone (301) 567-5005.Contact Information
Primary practice address
6188 Oxon Hill Rd Ste 804
Oxon Hill MD 20745-3113
Phone: (301) 567-5005
Fax: (301) 839-5677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 0422 | Maryland |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 290 | District of Columbia |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 373 | Virginia |
Profile Details
| NPI number | 1265429468 |
|---|---|
| LBN Legal business name | Wisotsky, Leonard |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Sep 27th, 2010 - about 14 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 | 1265429468 | NPPES |
| Other | 08378 | AMERIGROUP/AMERICAID | |
| Other | 4718680001 | AMERIGROUP/AMERICAID | |
| Other | 7531019 | AMERIGROUP/AMERICAID | |
| Other | 2130326 | AMERIGROUP/AMERICAID | |
| Other | 521093122 | AMERIGROUP/AMERICAID | |
| Other | 80850001 | AMERIGROUP/AMERICAID | |
| Other | 036217 | AMERIGROUP/AMERICAID | |
| Other | 521093122 | AMERIGROUP/AMERICAID | |
| Other | 36911001 | AMERIGROUP/AMERICAID | |
| Other | 7020305P | AMERIGROUP/AMERICAID | |
| Other | 80850001 | AMERIGROUP/AMERICAID | |
| Other | 521093122 | AMERIGROUP/AMERICAID | |
| MEDICAID | 602548000 | AMERIGROUP/AMERICAID | |
| Other | 81581 | AMERIGROUP/AMERICAID | |
| Other | 27496 | AMERIGROUP/AMERICAID | |
| Other | 493157 | AMERIGROUP/AMERICAID | |
| Other | 521093122 | AMERIGROUP/AMERICAID | |
| Other | 80850001 | AMERIGROUP/AMERICAID |
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