Leak, Christine A
Leak, Christine A is an individual health care provider with primary practice located at 1010 Cereal Ave Ste 300, Hamilton OH 45013-2776. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Leak, Christine A can be contacted via phone (513) 751-2145.Contact Information
Primary practice address
1010 Cereal Ave Ste 300
Hamilton OH 45013-2776
Phone: (513) 751-2145
Fax: (513) 751-2138
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | COA.11391-NP | Ohio |
Profile Details
NPI number | 1093039935 |
---|---|
LBN Legal business name | Leak, Christine A |
Credentials | ACNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2010 |
Last updated | Jan 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093039935 | NPPES |
Ohio | MEDICAID | 3057598 | |
Ohio | MEDICAID | 7100179630 |
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