Shingledecker, Leon G

Shingledecker, Leon G is an sole proprietor health care provider with primary practice located at 8101 Hinson Farm Rd Suite 301, Alexandria VA 22306-3403. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Shingledecker, Leon G can be contacted via phone (703) 765-4321.

Contact Information

Primary practice address
8101 Hinson Farm Rd Suite 301 Alexandria VA 22306-3403
Phone: (703) 765-4321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103001046 Virginia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC002084L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 200007 Louisiana

Profile Details

NPI number 1033165642
LBN Legal business name Shingledecker, Leon G
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Apr 8th, 2010 - about 16 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 1033165642 NPPES
Virginia MEDICAID 9300619

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