Obermiller, Leo Eugene
Obermiller, Leo Eugene is an individual health care provider with primary practice located at 105 W 8Th Ave Ste 1000 , Spokane WA 99204-2327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Obermiller, Leo Eugene can be contacted via phone (509) 474-4500.Contact Information
Primary practice address
105 W 8Th Ave Ste 1000
Spokane WA 99204-2327
Phone: (509) 474-4500
Fax: (509) 474-4487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 025209 | Washington |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | M5092 | Idaho |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD00019462 | Washington |
Profile Details
| NPI number | 1528159316 |
|---|---|
| LBN Legal business name | Obermiller, Leo Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jun 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528159316 | NPPES |
| Other | 000010000219 | REGENCE BLUE SHIELD OF ID | |
| MEDICAID | 805903500 | REGENCE BLUE SHIELD OF ID | |
| MEDICAID | 8111304 | REGENCE BLUE SHIELD OF ID |
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