Leisch, Jerad

Leisch, Jerad is an individual health care provider with primary practice located at 2632 Foothill Blvd , Rock Springs WY 82901-4756. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Leisch, Jerad can be contacted via phone (307) 212-3284.

Contact Information

Primary practice address
2632 Foothill Blvd Rock Springs WY 82901-4756
Phone: (307) 212-3284
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-149038 Wyoming

Profile Details

NPI number 1710574801
LBN Legal business name Leisch, Jerad
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2020
Last updated Dec 23rd, 2020 - about 5 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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