Doctor Name: | MR. FRANK LEATHERBURY |
NPI Number: | 1063743839 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 101339365 |
Business Practice Address: | 1109 W Highway 246 Buellton, CA - 934279403 |
Business Phone Number: | 8006679795 |
Business Fax Number: | 8056869140 |
Mailing Address: | P.o. Box 6574, SANTA BARBARA |
State: | CA |
Postal Code: | 93160 |
Phone Number: | 8006679795 |
Fax Number: | 8056869140 |
NPI Enumeration Date: | 01/19/2010 |
NPI Last Update Date: | 05/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 101339365 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |