NPI age
6 years
Enumerated 2019-09-12
● Active
Type 1 · Individual
MR. Peter John Leichtnam
Leichtnam is 1 of 9 clinic/center providers in Coeur D Alene and 1 of 145 in Idaho.
Primary specialty
Clinic/Center
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-09-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 145 active clinic/center providers in Idaho.
NPI age
6 years
↓ 3 yr below median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-09Enumerated in NPPES
2019
2026
Where they practice
Practice location
1200 W Ironwood Dr Ste 309
Coeur D Alene, ID 838142660
Mailing address
1200 W Ironwood Dr Ste 309
Coeur D Alene, ID 838142660
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
10905 E Montgomery Dr Ste 4
Spokane Valley, WA 992066606
Location 3
10905 E Montgomery Dr Ste 4
Spokane Valley, WA 992066606
Location 4
1200 W Ironwood Dr Ste 309
Coeur D Alene, ID 838142660
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 1 new clinic/center provider has been added in Coeur D Alene in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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