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Contact Information

JEFFREY LEIDER MD PLLC
35 AUGUSTA AVE
FORT WRIGHT, KY41011-3603
 Phone: 248-528-1981
 Fax: 248-528-2963
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JEFFREY LEIDER MD PLLC

NPI Number 1063788818
LBN Legal business name JEFFREY LEIDER MD PLLC
Authorized official JEFFREY LEIDER - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2012
Last updated 03/03/2022 - About 4 years ago
Identifiers
KY Medicaid 7100198660
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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