Leonard, Ethan G

Leonard, Ethan G is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Leonard, Ethan G can be contacted via phone (216) 844-7700.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Fax: (216) 286-6341
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 35-073411 Ohio

Profile Details

NPI number 1992725097
LBN Legal business name Leonard, Ethan G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jun 2nd, 2010 - 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 1992725097 NPPES
Pennsylvania Other 1018230890001 PA MEDICAID
Pennsylvania Other 000000201121 PA MEDICAID
Pennsylvania Other P00122025 PA MEDICAID
Pennsylvania Other 000000221158 PA MEDICAID
Pennsylvania MEDICAID 2130965 PA MEDICAID
Pennsylvania Other 363758 PA MEDICAID
Pennsylvania Other 5629713 PA MEDICAID
Pennsylvania Other 000000526042 PA MEDICAID
Pennsylvania Other 2130965 PA MEDICAID
Pennsylvania Other 745934 PA MEDICAID

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