Leyngold, Mark Michael

Leyngold, Mark Michael is an individual health care provider with primary practice located at 3015 E Goldstone Dr # 130 , Meridian ID 83642-1549. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Leyngold, Mark Michael can be contacted via phone (208) 900-4673.

Contact Information

Primary practice address
3015 E Goldstone Dr # 130 Meridian ID 83642-1549
Phone: (208) 900-4673
Fax: (208) 266-5033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME116419 Florida

Profile Details

NPI number 1093839003
LBN Legal business name Leyngold, Mark Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Nov 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093839003 NPPES
Florida MEDICAID 008971400
Florida Other 20024303

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