Leyendecker, Jason Ryan

Leyendecker, Jason Ryan is an individual health care provider with primary practice located at 6444 Xerxes Ave S , Edina MN 55423-1039. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Leyendecker, Jason Ryan can be contacted via phone (952) 831-4222.

Contact Information

Primary practice address
6444 Xerxes Ave S Edina MN 55423-1039
Phone: (952) 831-4222
Fax: (952) 831-4942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 8450 Minnesota

Profile Details

NPI number 1548563000
LBN Legal business name Leyendecker, Jason Ryan
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2010
Last updated Dec 6th, 2010 - 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 1548563000 NPPES
Minnesota Other 8450 STATE OF MINNESOTA LICENSE

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