Jacob Leedekerken
Emergency Physician
1000 Blythe Blvd
Charlotte
, North Carolina 28203-5812
Jacob Leedekerken
Emergency Physician
1000 Blythe Blvd
Charlotte
, North Carolina 28203-5812
(770) 598-9580
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Jacob Leedekerken
- 813 12th St Ne
- Washington, DC
- Zip : 20002-4435
- Phone : (770) 598-9580
Second Address
- Jacob Leedekerken
- 1000 Blythe Blvd
- Charlotte, NC
- Zip : 28203-5812
- Phone : (704) 355-3181
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 238485 | NC |
National Provider Identifier
| NPI | 1003312067 |
|---|---|
| Provider Name | Jacob Leedekerken |
| First Address | Washington, DC 20002-4435 |
| Second Address | Charlotte, NC 28203-5812 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2018 |
| Last Update Date | 03/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.