Leach, Monica Dawn
Leach, Monica Dawn is an individual health care provider with primary practice located at 200 White Eagle Dr , Ponca City OK 74601-8315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Leach, Monica Dawn can be contacted via phone (580) 765-2501.Contact Information
Primary practice address
200 White Eagle Dr
Ponca City OK 74601-8315
Phone: (580) 765-2501
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | F08170811 | Oklahoma |
Profile Details
| NPI number | 1437678562 |
|---|---|
| LBN Legal business name | Leach, Monica Dawn |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2017 |
| Last updated | Apr 26th, 2019 - about 5 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 | 1437678562 | NPPES |
| Oklahoma | MEDICAID | 200805530A |
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