Leidenix, Monte John
Leidenix, Monte John is an individual health care provider with primary practice located at 620 N 9Th St , Bismarck ND 58501-4112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Leidenix, Monte John can be contacted via phone (701) 255-4673.Contact Information
Primary practice address
620 N 9Th St
Bismarck ND 58501-4112
Phone: (701) 255-4673
Fax: (701) 255-4934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 7678 | North Dakota |
Profile Details
| NPI number | 1104814425 |
|---|---|
| LBN Legal business name | Leidenix, Monte John |
| Credentials | M.D. F.A.C.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Jan 8th, 2008 - about 18 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 | 1104814425 | NPPES |
| North Dakota | MEDICAID | 10199 | |
| North Dakota | MEDICAID | 7780550 | |
| North Dakota | MEDICAID | 10354900 | |
| North Dakota | Other | 14737 |
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