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:
Health care specialties
Specialty | Code | License # | 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 7 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 | 1780672329 | NPPES |
Arizona | MEDICAID | 845969 |
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