Mccauley, Leesa Damar
Mccauley, Leesa Damar is an individual health care provider with primary practice located at 2400 17Th St , Columbus IN 47201-5351. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Mccauley, Leesa Damar can be contacted via phone (812) 376-5974.Contact Information
Primary practice address
2400 17Th St
Columbus IN 47201-5351
Phone: (812) 376-5974
Fax: (812) 375-3203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 57-012612 | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01074422A | Indiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01074422A | Indiana |
Profile Details
| NPI number | 1194936807 |
|---|---|
| LBN Legal business name | Mccauley, Leesa Damar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Mar 24th, 2023 - about last year |
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 | 1194936807 | NPPES |
| Indiana | Other | 000000984086 | ANTHEM PIN |
| Indiana | Other | 01074422B | ANTHEM PIN |
| Indiana | MEDICAID | 201248300A | ANTHEM PIN |
| Indiana | MEDICAID | 2997155 | ANTHEM PIN |
| Indiana | Other | 01074422A | ANTHEM PIN |
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