Leiderman, Joshua D

Leiderman, Joshua D is an individual health care provider with primary practice located at 1235 8Th St , Las Vegas NM 87701-4219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Leiderman, Joshua D can be contacted via phone (505) 425-6788.

Contact Information

Primary practice address
1235 8Th St Las Vegas NM 87701-4219
Fax: (505) 425-5408
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A93209 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD2010-0809 New Mexico

Profile Details

NPI number 1841247327
LBN Legal business name Leiderman, Joshua D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Jun 25th, 2015 - about 11 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 1841247327 NPPES
California MEDICAID 00A932090

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