Liddy, Leah Marie

Liddy, Leah Marie is an sole proprietor health care provider with primary practice located at 2115 Leiter Rd , Miamisburg OH 45342-3600. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Liddy, Leah Marie can be contacted via phone (937) 384-6800.

Contact Information

Primary practice address
2115 Leiter Rd Miamisburg OH 45342-3600
Phone: (937) 384-6800
Fax: (937) 384-6938
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.021683 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.021683 Ohio

Profile Details

NPI number 1639698962
LBN Legal business name Liddy, Leah Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2017
Last updated Jan 18th, 2021 - about 4 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 1639698962 NPPES
Ohio MEDICAID 0249084

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