Leding, Mark J

Leding, Mark J is an sole proprietor health care provider with primary practice located at 1410 N. Street , Clinton IA 52732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Leding, Mark J can be contacted via phone (563) 244-5555.

Contact Information

Primary practice address
1410 N. Street Clinton IA 52732
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036074323 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2398 Iowa

Profile Details

NPI number 1336125004
LBN Legal business name Leding, Mark J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Feb 3rd, 2009 - about 16 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 1336125004 NPPES
Illinois MEDICAID 036074323

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