Leatherman, James W

Leatherman, James W is an individual health care provider with primary practice located at 701 Park Ave S S1, Minneapolis MN 55415-1623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Leatherman, James W can be contacted via phone (612) 873-9700.

Contact Information

Primary practice address
701 Park Ave S S1 Minneapolis MN 55415-1623
Phone: (612) 873-9700
Fax: (612) 904-4675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 24037 Minnesota

Profile Details

NPI number 1871534214
LBN Legal business name Leatherman, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Nov 21st, 2012 - about 12 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 1871534214 NPPES
Minnesota MEDICAID 668075500

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