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Contact Information

GLEN E LEER, DO
204 W. MAIN STREET
ARCADIA, IN46030
 Phone: 317-984-8811
 Fax: 888-634-3182
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GLEN E LEER · (Male)

NPI Number 1063505667
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/02/2006
Last updated 05/21/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 02001252A
  • IN Medicaid 100319180B
  • IN Other 1343052 FIRST HEALTH
  • IN Other 4909800001 MEDICARE DMEPOS
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH TIPTON HOSPITAL INC - (Critical Access)
    1000 S MAIN ST
    TIPTON, IN 46072
  • RIVERVIEW HOSPITAL - (Acute Care)
    395 WESTFIELD RD
    NOBLESVILLE, IN 46060
  • ST VINCENT MERCY HOSPITAL - (Critical Access)
    1331 S A ST
    ELWOOD, IN 46036
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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