Leister, Carrie A
Leister, Carrie A is an individual health care provider with primary practice located at 4465 Darrow Rd Ste 100, Stow OH 44224. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Leister, Carrie A can be contacted via phone (330) 688-9918.Contact Information
Primary practice address
4465 Darrow Rd Ste 100
Stow OH 44224
Phone: (330) 688-9918
Fax: (330) 688-6338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 50000944 | Ohio |
Profile Details
| NPI number | 1326034539 |
|---|---|
| LBN Legal business name | Leister, Carrie A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Apr 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326034539 | NPPES |
| Ohio | MEDICAID | 0428273 |
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