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
Fax: (505) 843-2592
Website:

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023051513 NPPES
Oklahoma MEDICAID 10077340A

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