Leake, Jonathan F

Leake, Jonathan F is an individual health care provider with primary practice located at 2500 W Strub Rd Suite 210, Sandusky OH 44870-5390. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Leake, Jonathan F can be contacted via phone (419) 625-2841.

Contact Information

Primary practice address
2500 W Strub Rd Suite 210 Sandusky OH 44870-5390
Fax: (419) 625-1299
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 35061662 Ohio

Profile Details

NPI number 1265468383
LBN Legal business name Leake, Jonathan F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Apr 22nd, 2013 - about 11 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 1265468383 NPPES
Ohio MEDICAID 0837723

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