Leo, Jin-Shone

Leo, Jin-Shone is an individual health care provider with primary practice located at 4005 24Th St , Lubbock TX 79410-1835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Leo, Jin-Shone can be contacted via phone (806) 792-2767.

Contact Information

Primary practice address
4005 24Th St Lubbock TX 79410-1835
Fax: (806) 791-6709
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X F2323 Texas

Profile Details

NPI number 1689679748
LBN Legal business name Leo, Jin-Shone
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 8th, 2007 - about 15 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 1689679748 NPPES
Texas Other 87471Y BLUE CROSS
Texas Other 625862 BLUE CROSS
Texas MEDICAID X4609 BLUE CROSS

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