CHAD LEBLANC DO NPI 1588604532

NPI Information

NPI: 1588604532
Provider Name: CHAD LEBLANC, DO
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

Organization: NORTH VALLEY EMERGENCY PHYSICIANS L C

PECOS Registration: Yes

Address:
1034 NORTH 500 WEST
PROVO, UT
ZIP 84604
Phone: (801) 373-7850
Get Directions

Chad Leblanc, DO is an emergency medical services emergency medicine in Provo, UT with 22 years of experience. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Chad Leblanc, DO NPI is 1588604532. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduation Year:2002

The provider's business location address is:

1034 NORTH 500 WEST
PROVO, UT
ZIP 84604
Phone: (801) 373-7850

The NPI 1588604532 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 5/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services	58708721204	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	58708721200001	OTHER		BCBS
2	58708721202001	OTHER	UTAH	BCBS
3	I41302	MEDICARE UPIN
4	000061300	MEDICARE PIN
5	P00420439	OTHER	UTAH	RAIL ROAD MEDICARE
6	1588604532	MEDICAID	UTAH
7	002330029	MEDICARE PIN
8	$$$$$$$$$	OTHER	UTAH	CHAMPUS
9	P00295439	OTHER		RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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