Leidlein, Jane H
Leidlein, Jane H is an sole proprietor health care provider with primary practice located at 117 Circle Way St , Lake Jackson TX 77566-5233. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Leidlein, Jane H can be contacted via phone (979) 297-4042.Contact Information
Primary practice address
117 Circle Way St
Lake Jackson TX 77566-5233
Phone: (979) 297-4042
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | J4298 | Texas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | J4298 | Texas |
Profile Details
| NPI number | 1235110719 |
|---|---|
| LBN Legal business name | Leidlein, Jane H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Jun 2nd, 2022 - about 4 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 | 1235110719 | NPPES |
| Texas | Other | 10017638 | AMERIGROUP |
| Texas | Other | 180036211 | AMERIGROUP |
| Texas | MEDICAID | 096931301 | AMERIGROUP |
| Texas | Other | 8S4250 | AMERIGROUP |
| Texas | MEDICAID | 096931303 | AMERIGROUP |
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