Leizman, Jonathan B

Leizman, Jonathan B is an individual health care provider with primary practice located at 17747 Chillicothe Rd Suite 100, Chagrin Falls OH 44023-4739. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Leizman, Jonathan B can be contacted via phone (440) 543-8855.

Contact Information

Primary practice address
17747 Chillicothe Rd Suite 100 Chagrin Falls OH 44023-4739
Fax: (440) 543-2470
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35075091L Ohio
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 35075091 Ohio

Profile Details

NPI number 1447249677
LBN Legal business name Leizman, Jonathan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Nov 2nd, 2011 - about 14 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 1447249677 NPPES
Ohio MEDICAID 2191079
Ohio Other 000000210557

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