Leitner, Jack
Leitner, Jack is an individual health care provider with primary practice located at 95 Lincoln St , Framingham MA 01702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Leitner, Jack can be contacted via phone (508) 875-1964.Contact Information
Primary practice address
95 Lincoln St
Framingham MA 01702
Phone: (508) 875-1964
Fax: (508) 626-7690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31597 | Massachusetts |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 31597 | Massachusetts |
Profile Details
| NPI number | 1205975067 |
|---|---|
| LBN Legal business name | Leitner, Jack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1205975067 | NPPES |
| Massachusetts | MEDICAID | 2017725 |
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