Leavengood, Nathan P
Leavengood, Nathan P is an sole proprietor health care provider with primary practice located at 610 Walnut St , Coshocton OH 43812-1655. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Leavengood, Nathan P can be contacted via phone (740) 622-0033.Contact Information
Primary practice address
610 Walnut St
Coshocton OH 43812-1655
Phone: (740) 622-0033
Fax: (740) 622-0210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1.2204108 | Ohio |
Profile Details
| NPI number | 1568944320 |
|---|---|
| LBN Legal business name | Leavengood, Nathan P |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2018 |
| Last updated | Apr 8th, 2023 - about last year |
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 | 1568944320 | NPPES |
| Ohio | MEDICAID | 0352267 |
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