Avera, Leah M
Avera, Leah M is an individual health care provider with primary practice located at 6147 State Route 122 Ste 200 , Middletown OH 45005-5201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Avera, Leah M can be contacted via phone (513) 261-3500.Contact Information
Primary practice address
6147 State Route 122 Ste 200
Middletown OH 45005-5201
Phone: (513) 261-3500
Fax: (513) 261-3509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35075085K | Ohio |
Profile Details
| NPI number | 1003892399 |
|---|---|
| LBN Legal business name | Avera, Leah M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Nov 19th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003892399 | NPPES |
| Ohio | MEDICAID | 2089314 |
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