Leibovitz, Jeffrie C

Leibovitz, Jeffrie C is an sole proprietor health care provider with primary practice located at 9505 E 59Th St Suite A, Indianapolis IN 46216-1025. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Leibovitz, Jeffrie C can be contacted via phone (317) 545-0505.

Contact Information

Primary practice address
9505 E 59Th St Suite A Indianapolis IN 46216-1025
Phone: (317) 545-0505
Fax: (317) 545-0506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000550A Indiana

Profile Details

NPI number 1760463681
LBN Legal business name Leibovitz, Jeffrie C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Jun 9th, 2021 - about 3 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 1760463681 NPPES
Indiana Other 480003471 MEDICARE RAILROAD #
Indiana Other 35-1619801 MEDICARE RAILROAD #
Indiana Other 000000002077 MEDICARE RAILROAD #
Indiana Other 00000313730 MEDICARE RAILROAD #
Indiana Other 1006619 MEDICARE RAILROAD #

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