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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871534214 | NPPES |
| Minnesota | MEDICAID | 668075500 |
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