Leatherwood, Lynn
Leatherwood, Lynn is an individual health care provider with primary practice located at 15286 Community Rd , Gulfport MS 39503-3509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Leatherwood, Lynn can be contacted via phone (228) 832-5151.Contact Information
Primary practice address
15286 Community Rd
Gulfport MS 39503-3509
Phone: (228) 832-5151
Fax: (228) 832-6320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 10834 | Mississippi |
Profile Details
| NPI number | 1750342986 |
|---|---|
| LBN Legal business name | Leatherwood, Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Apr 24th, 2008 - about 16 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 | 1750342986 | NPPES |
| Mississippi | Other | 110098184 | RAILROAD MEDICARE |
| Mississippi | MEDICAID | 00114491 | RAILROAD MEDICARE |
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