Frederick E Leickly
Allergist & Immunologist Pediatric Allergist
815 Schnier St
Columbus
, Indiana 47201-2619
Frederick E Leickly
Allergist & Immunologist Pediatric Allergist
815 Schnier St
Columbus
, Indiana 47201-2619
(828) 350-2174
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About
Features
Specialties
- Allergist & Immunologist
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Frederick E Leickly
- Po Box 603725
- Charlotte, NC
- Zip : 28260-3725
- Fax : (828) 350-2174
- Phone : (828) 575-2625
Second Address
- Frederick E Leickly
- 815 Schnier St
- Columbus, IN
- Zip : 47201-2619
- Fax : (812) 379-9251
- Phone : (812) 378-3131
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 01042436A | IN |
| N | 2080P0201X | Pediatric Allergist | 01042436 | IN |
National Provider Identifier
| NPI | 1679682710 |
|---|---|
| Provider Name | Frederick E Leickly |
| First Address | Charlotte, NC 28260-3725 |
| Second Address | Columbus, IN 47201-2619 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 09/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100379150 | (05) | IN |
| B46471 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.