Deckter, Leslie Ann

Deckter, Leslie Ann is an sole proprietor health care provider with primary practice located at 4075 Old Western Row Rd Mlc 2047, Mason OH 45040-3104. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Deckter, Leslie Ann can be contacted via phone (513) 536-4673.

Contact Information

Primary practice address
4075 Old Western Row Rd Mlc 2047 Mason OH 45040-3104
Phone: (513) 536-4673
Fax: (513) 536-0619
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35.120388 Ohio

Profile Details

NPI number 1447576301
LBN Legal business name Deckter, Leslie Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2010
Last updated Jul 1st, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447576301 NPPES
Ohio MEDICAID 0119954

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