Leach, Michael B
Leach, Michael B is an individual health care provider with primary practice located at 3659 Green Rd Ste 320 , Beachwood OH 44122-5715. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Leach, Michael B can be contacted via phone (216) 390-9695.Contact Information
Primary practice address
3659 Green Rd Ste 320
Beachwood OH 44122-5715
Phone: (216) 390-9695
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2671 | Ohio |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X |
Profile Details
NPI number | 1568546422 |
---|---|
LBN Legal business name | Leach, Michael B |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2006 |
Last updated | May 8th, 2024 - about last year |
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 | 1568546422 | NPPES |
Ohio | MEDICAID | 0355057 |
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