Ladenheim, Eric

Ladenheim, Eric is an individual health care provider with primary practice located at 6145 N Thesta St , Fresno CA 93710-5266. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Ladenheim, Eric can be contacted via phone (559) 446-1065.

Contact Information

Primary practice address
6145 N Thesta St Fresno CA 93710-5266
Phone: (559) 446-1065
Fax: (559) 272-5009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G847370 California

Profile Details

NPI number 1467454686
LBN Legal business name Ladenheim, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Apr 25th, 2013 - about 13 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 1467454686 NPPES
California Other 16-1648232 TAX ID
California MEDICAID 00G847370 TAX ID

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