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Contact Information

NICHOLAS LEONOWICZ, MD
10343 DAWSONS CREEK BLVD STE A
FORT WAYNE, IN46825
 Phone: 260-206-9600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for NICHOLAS LEONOWICZ · (Male)

NPI Number 1831572254
Status Active
Credentials MD
Entity Individual
Enumeration date 07/02/2015
Last updated 10/09/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01080188A
  • MI License # 4301108207
  • OH Medicaid 0378205
Hospital affiliation(s)
  • DUPONT HOSPITAL LLC - (Acute Care)
    2520 E DUPONT RD
    FORT WAYNE, IN 46825
  • LUTHERAN HOSPITAL OF INDIANA - (Acute Care)
    7950 W JEFFERSON BLVD
    FORT WAYNE, IN 46804
  • ST JOSEPH HOSPITAL - (Acute Care)
    700 BROADWAY
    FORT WAYNE, IN 46802
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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