Leatherman, Sue A

Leatherman, Sue A is an sole proprietor health care provider with primary practice located at 2365 Innis Rd , Columbus OH 43224. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Leatherman, Sue A can be contacted via phone (614) 416-4325.

Contact Information

Primary practice address
2365 Innis Rd Columbus OH 43224
Phone: (614) 416-4325
Fax: (614) 416-4320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35044589L Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.044589 Ohio

Profile Details

NPI number 1043217839
LBN Legal business name Leatherman, Sue A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Oct 6th, 2011 - about 13 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 1043217839 NPPES
Ohio MEDICAID 2781208

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