Leiser, Jeffrey D

Leiser, Jeffrey D is an individual health care provider with primary practice located at 705 Riley Hospital Dr Rr 230, Indianapolis IN 46202-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Leiser, Jeffrey D can be contacted via phone (317) 274-2563.

Contact Information

Primary practice address
705 Riley Hospital Dr Rr 230 Indianapolis IN 46202-5109
Phone: (317) 274-2563
Fax: (317) 278-3599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 01042066 Indiana

Profile Details

NPI number 1124122643
LBN Legal business name Leiser, Jeffrey D
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Feb 6th, 2014 - about 11 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 1124122643 NPPES
Kentucky MEDICAID 64882772
Kentucky MEDICAID 100379290

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