Leary, Mary Ellen
Leary, Mary Ellen is an individual health care provider with primary practice located at 6438 Wilmington Pike Suite 300, Centerville OH 45459. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Leary, Mary Ellen can be contacted via phone (937) 848-4850.Contact Information
Primary practice address
6438 Wilmington Pike Suite 300
Centerville OH 45459
Phone: (937) 848-4850
Fax: (937) 848-4858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35-063358 | Ohio |
Profile Details
| NPI number | 1730186602 |
|---|---|
| LBN Legal business name | Leary, Mary Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2005 |
| 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 | 1730186602 | NPPES |
| Ohio | MEDICAID | 0065924 |
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