Iverson, Leigh I.G.

Iverson, Leigh I.G. is an individual health care provider with primary practice located at 3300 Webster St Suite 500, Oakland CA 94609-3117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Iverson, Leigh I.G. can be contacted via phone (510) 465-6600.

Contact Information

Primary practice address
3300 Webster St Suite 500 Oakland CA 94609-3117
Phone: (510) 465-6600
Fax: (510) 839-0806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G14929 California

Profile Details

NPI number 1871685867
LBN Legal business name Iverson, Leigh I.G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871685867 NPPES
California MEDICAID 00G149290

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