Leidinger, Martin Joseph

Leidinger, Martin Joseph is an individual health care provider with primary practice located at 811 Ainsworth Dr , Prescott AZ 86301-1687. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Leidinger, Martin Joseph can be contacted via phone (928) 771-5550.

Contact Information

Primary practice address
811 Ainsworth Dr Prescott AZ 86301-1687
Phone: (928) 771-5550
Fax: (928) 771-5542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31839 Arizona
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 31839 Arizona
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 31839 Arizona

Profile Details

NPI number 1780672329
LBN Legal business name Leidinger, Martin Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Feb 7th, 2018 - about 6 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 1780672329 NPPES
Arizona MEDICAID 845969

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