Ross, Leatha M
Ross, Leatha M is an individual health care provider with primary practice located at 30 W Mccreight Ave Ste 110 , Springfield OH 45504-1853. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ross, Leatha M can be contacted via phone (937) 523-9050.Contact Information
Primary practice address
30 W Mccreight Ave Ste 110
Springfield OH 45504-1853
Phone: (937) 523-9050
Fax: (937) 523-9059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | FNP 0368222-22 | Ohio |
Profile Details
| NPI number | 1487720801 |
|---|---|
| LBN Legal business name | Ross, Leatha M |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Mar 7th, 2022 - about 3 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 | 1487720801 | NPPES |
| Ohio | MEDICAID | 2346607 |
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