Leipholtz, Josia D

Leipholtz, Josia D is an sole proprietor health care provider with primary practice located at 1410 Forum Katy Pkwy Suite 100, Columbia MO 65203. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Leipholtz, Josia D can be contacted via phone (573) 441-7070.

Contact Information

Primary practice address
1410 Forum Katy Pkwy Suite 100 Columbia MO 65203
Fax: (573) 441-2288
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2002015319 Missouri

Profile Details

NPI number 1922067644
LBN Legal business name Leipholtz, Josia D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2006
Last updated Mar 7th, 2023 - about 2 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 1922067644 NPPES
Missouri Other 2002015319 LICENSE
Missouri Other 237691805 LICENSE

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