Jody J Leisholmn is a Medical in Metlakatla, Alaska. Jody J Leisholmn practices all healthcare services and medical treatments related to Medical. The NPI Number for Jody J Leisholmn is 1922196468. The last update date is 2007-07-08.
Jody J Leisholmn's current location address is 563 Brendible St., Metlakatla, Alaska. You can contact this provider via phone number 9078864741. The mailing address for Jody J Leisholmn is 563 Brendible St., Metlakatla, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody J Leisholmn |
|---|---|
| Address | 563 Brendible St., Metlakatla, Alaska |
| Phone Number | 9078864741 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1922196468 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 563 Brendible St. |
|---|---|
| City | Metlakatla |
| State | Alaska (AK) |
| Post Code | 99926 |
| Phone Number | 9078864741 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 698 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jody J Leisholmn by the Centers for Medicare & Medicaid Services?
The Jody J Leisholmn has been issued the NPI (National Provider Identifier) 1922196468 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jody J Leisholmn is physically located?
The Jody J Leisholmn is physically situated at the following address: 563 Brendible St., Metlakatla, AK, 99926.
What is Jody J Leisholmn's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jody J Leisholmn is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1922196468 to Jody J Leisholmn?
The Jody J Leisholmn received its 1922196468 assignment from the Centers for Medicare & Medicaid Services on 2006-10-10.
When was the information regarding Jody J Leisholmn most recently updated?
The details pertaining to the Jody J Leisholmn, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.