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Contact Information

ROBERT LEACH, DO
2408 TOUR EDITION DR
HENDERSON, NV89074-8300
 Phone: 414-334-0148
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ROBERT LEACH · (Male)

NPI Number 1770575391
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/19/2005
Last updated 04/20/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 44077-021
  • WI Medicaid 43510200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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