Leach, Eric B

Leach, Eric B is an individual health care provider with primary practice located at 1055 N 500 W Suite 121, Provo UT 84604-3305. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Leach, Eric B can be contacted via phone (801) 373-7350.

Contact Information

Primary practice address
1055 N 500 W Suite 121 Provo UT 84604-3305
Phone: (801) 373-7350
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 8533 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2533 Arizona

Profile Details

NPI number 1124068739
LBN Legal business name Leach, Eric B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 18th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124068739 NPPES
Arizona MEDICAID 867525

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