Individual
DR. JONATHAN EATON LEINBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1830 HILLANDALE RD, DURHAM, NC 27705-2670
(919) 286-0411
Mailing address
1830 HILLANDALE RD, DURHAM, NC 27705-2670
(919) 286-0411
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9901233
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2342249
GROUP MEDICARE
NC
Enumeration date
06/16/2006
Last updated
06/17/2015
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