Leather Banana,Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5651070001 Issued in IN

Legal business name

LEATHER BANANA,INC

Practice address

602 N Main St
Mishawaka, IN 46545-6620

Phone

(574) 254-0517

Fax

(574) 254-0162

NPI assigned

May 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Leippert

Title

Owner

Phone

(574) 254-0517

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1740237247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N MAIN ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456620",
            "telephone_number": "574-254-0517",
            "fax_number": "574-254-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N MAIN ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456620",
            "telephone_number": "574-254-0517",
            "fax_number": "574-254-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEATHER BANANA,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "LEIPPERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-254-0517",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "5651070001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Lauber, M.D.
• Leslie Ann Laughlin, PT
• Laura L Helman DO
• Lawrence R Curry
• Lawrence R Curry
• James A Leaverton, O.D.
• Brian Jay Demarkus Lebron Williams
• Julian Angel Lebron
• David J Lee, M.D.
• Sandra Michelle Lee, MSN, FNP-BC

• Durable Medical Equipment & Medical Supplies in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.