Leithiser, Richard Eldon

Leithiser, Richard Eldon is an individual health care provider with primary practice located at 1 Childrens Way # 653 , Little Rock AR 72202-3500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Leithiser, Richard Eldon can be contacted via phone (501) 364-4865.

Contact Information

Primary practice address
1 Childrens Way # 653 Little Rock AR 72202-3500
Phone: (501) 364-4865
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X N -7228 Arkansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X N - 7228 Arkansas

Profile Details

NPI number 1558410514
LBN Legal business name Leithiser, Richard Eldon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Mar 11th, 2009 - about 15 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 1558410514 NPPES
Arkansas MEDICAID 113729001

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