Leegwater-Kim, Julie Rebecca
Leegwater-Kim, Julie Rebecca is an individual health care provider with primary practice located at 41 Mall Rd Lahey Clinic - Dept Of Neurology, Burlington MA 01805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Leegwater-Kim, Julie Rebecca can be contacted via phone (781) 744-8000.Contact Information
Primary practice address
41 Mall Rd Lahey Clinic - Dept Of Neurology
Burlington MA 01805
Phone: (781) 744-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 232575 | New York |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 228643 | Massachusetts |
Profile Details
| NPI number | 1093761587 |
|---|---|
| LBN Legal business name | Leegwater-Kim, Julie Rebecca |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Feb 16th, 2011 - about 14 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 | 1093761587 | NPPES |
| Massachusetts | MEDICAID | 110073609A |
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