Leeds, Holly
Leeds, Holly is an sole proprietor health care provider with primary practice located at 152 Catherine Ln Ste F , Grass Valley CA 95945. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Leeds, Holly can be contacted via phone (888) 966-2398.Contact Information
Primary practice address
152 Catherine Ln Ste F
Grass Valley CA 95945
Phone: (888) 966-2398
Fax: (844) 235-8334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 0G79232 | California |
Profile Details
| NPI number | 1861413387 |
|---|---|
| LBN Legal business name | Leeds, Holly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jan 11th, 2019 - about 5 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 | 1861413387 | NPPES |
| California | Other | 0G79232 | STATE LICENSE |
| California | MEDICAID | 00G792320 | STATE LICENSE |
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