Leidlein, Jane H

Leidlein, Jane H is an sole proprietor health care provider with primary practice located at 117 Circle Way St , Lake Jackson TX 77566-5233. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Leidlein, Jane H can be contacted via phone (979) 297-4042.

Contact Information

Primary practice address
117 Circle Way St Lake Jackson TX 77566-5233
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X J4298 Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X J4298 Texas

Profile Details

NPI number 1235110719
LBN Legal business name Leidlein, Jane H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Jun 2nd, 2022 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235110719 NPPES
Texas Other 10017638 AMERIGROUP
Texas Other 180036211 AMERIGROUP
Texas MEDICAID 096931301 AMERIGROUP
Texas Other 8S4250 AMERIGROUP
Texas MEDICAID 096931303 AMERIGROUP

Popular Providers