Leib, Ronald Jay

Leib, Ronald Jay is an sole proprietor health care provider with primary practice located at 39 S Virginia St , Crystal Lake IL 60014-5826. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Leib, Ronald Jay can be contacted via phone (815) 477-9221.

Contact Information

Primary practice address
39 S Virginia St Crystal Lake IL 60014-5826
Phone: (815) 477-9221
Fax: (815) 477-8916
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X Illinois

Profile Details

NPI number 1548315021
LBN Legal business name Leib, Ronald Jay
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 9th, 2007 - about 17 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 1548315021 NPPES
Illinois Other 5619947 BC BS OF ILLINOIS

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