Leaberry, Jeffrey Louis

Leaberry, Jeffrey Louis is an individual health care provider with primary practice located at 2900 First Avenue , Huntington WV 25702. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Leaberry, Jeffrey Louis can be contacted via phone (304) 526-1031.

Contact Information

Primary practice address
2900 First Avenue Huntington WV 25702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 17790 West Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35.080552 Ohio

Profile Details

NPI number 1275603771
LBN Legal business name Leaberry, Jeffrey Louis
Credentials ANESTHESIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Mar 29th, 2018 - about 7 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 1275603771 NPPES
West Virginia Other 001721141 WV BLUE CROSS PROVIDER #
West Virginia Other 440585258-00 WV BLUE CROSS PROVIDER #
West Virginia MEDICAID 0060808000 WV BLUE CROSS PROVIDER #

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