Leading Edge Healthcare, Pllc
LBN: Leading Edge Healthcare, Pllc
Leading Edge Healthcare, Pllc is an health care organization with primary practice located at 724 N Montezuma St Ste A , Prescott AZ 86301-2066. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Leading Edge Healthcare, Pllc can be contacted via phone (928) 925-2871, or through Kirkeeng, Jacob via phone (928) 925-2871.
Contact Information
Primary practice address
724 N Montezuma St Ste A
Prescott AZ 86301-2066
Phone: (928) 925-2871
Fax:
Website:
Authorized official contact:
Name: Kirkeeng, Jacob Physician's Assistant Certified (PA-C)
Phone: (928) 925-2871
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1659017499 |
|---|---|
| LBN Legal business name | Leading Edge Healthcare, Pllc |
| DBA Doing business as | |
| Authorized official | Kirkeeng, Jacob Physician's Assistant Certified (PA-C) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 5th, 2022 |
| Last updated | Mar 22nd, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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