Jesse, Michael Leo
Jesse, Michael Leo is an individual health care provider with primary practice located at 7856 Brookside Dr , Olmsted Falls OH 44138-1653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jesse, Michael Leo can be contacted via phone (440) 235-3711.Contact Information
Primary practice address
7856 Brookside Dr
Olmsted Falls OH 44138-1653
Phone: (440) 235-3711
Fax: (440) 235-3786
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34003567 | Ohio |
Profile Details
NPI number | 1538125885 |
---|---|
LBN Legal business name | Jesse, Michael Leo |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2006 |
Last updated | Nov 6th, 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 | 1538125885 | NPPES |
Ohio | Other | 341842373008 | BWC |
Ohio | MEDICAID | 711484 | BWC |
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