Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 25MA08608100 | NJ |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD034449E | PA |
NPI | 1073563078 |
---|---|
Provider Name | Dr. Charles F. Leinberry |
First Address | Philadelphia, PA 19107-4414 |
Second Address | Philadelphia, PA 19107-4206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 10/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0429822000 | IBC IND PROVIDER # (01) | PA |
4263975 | AETNA IND PROVIDER # (01) | PA |
607173 | BS IND PROVIDER # (01) | PA |
E55562 | (02) | PA |
P00075615 | RR MEDICARE IND PROV # (01) | PA |
P737755 | OXFORD IND PROVIDER # (01) | PA |