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NPI Code Detail

MEDICARE: MR. WILLIAM J LEIX LBSW

MEDICARE: MR. WILLIAM J LEIX LBSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker6802073804MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2750910711OTHERMIBCBSM

General Provider Information

NPI Number : 1174621510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM J LEIX LBSW
Provider Business Mailing Address
First Line : 2512 E COURT ST
Second Line :
City : FLINT
State : MI
Zip : 48503-2815
Country : US
Telephone Number : 810-667-0500
Fax Number :
Provider Business Practice Location Address
First Line : 1570 SUNCREST DR
Second Line :
City : LAPEER
State : MI
Zip : 48446-1154
Country : US
Telephone Number : 810-667-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 08/28/2015

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