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Contact Information

MICHAEL H LEDBETTER, DO
1930 N BUSINESS ROUTE 5
UNIT 1A
CAMDENTON, MO65020-2659
 Phone: 573-346-5624
 Fax: 573-346-1957
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHAEL H LEDBETTER · (Male)

NPI Number 1477552479
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/20/2005
Last updated 07/23/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R9D86
  • MO Medicaid 241994201
  • MO Other 010010035 RAILROAD MEDICARE
Hospital affiliation(s)
  • LAKE REGIONAL HEALTH SYSTEM - (Acute Care)
    54 HOSPITAL DRIVE
    OSAGE BEACH, MO 65065
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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