Mckinnon, Leah Jane
Mckinnon, Leah Jane is an individual health care provider with primary practice located at 502 Elm St Ne , Albuquerque NM 87102-2512. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Mckinnon, Leah Jane can be contacted via phone (505) 841-1000.Contact Information
Primary practice address
502 Elm St Ne
Albuquerque NM 87102-2512
Phone: (505) 841-1000
Fax: (505) 843-2592
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 21311 | Oklahoma |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 87-117 | New Mexico |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | A52104 | California |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | K8795 | Texas |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | C-6860 | Arkansas |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 35.086978 | Ohio |
Profile Details
NPI number | 1023051513 |
---|---|
LBN Legal business name | Mckinnon, Leah Jane |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2006 |
Last updated | Nov 13th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023051513 | NPPES |
Oklahoma | MEDICAID | 10077340A |
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