Sopko, Leah

Sopko, Leah is an individual health care provider with primary practice located at 38429 Lake Shore Blvd , Willoughby OH 44094-7009. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sopko, Leah can be contacted via phone (440) 269-7488.

Contact Information

Primary practice address
38429 Lake Shore Blvd Willoughby OH 44094-7009
Phone: (440) 269-7488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA.12361-NP Ohio

Profile Details

NPI number 1225318330
LBN Legal business name Sopko, Leah
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2011
Last updated Nov 13th, 2012 - about 12 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 1225318330 NPPES
Ohio MEDICAID 0057603

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