Koblentz, Leslie M
Koblentz, Leslie M is an individual health care provider with primary practice located at 2351 E 22Nd St Psychiatry Dept, Cleveland OH 44115-3111. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Koblentz, Leslie M can be contacted via phone (216) 363-2538.Contact Information
Primary practice address
2351 E 22Nd St Psychiatry Dept
Cleveland OH 44115-3111
Phone: (216) 363-2538
Fax: (216) 694-4604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 35081900 | Ohio |
Profile Details
| NPI number | 1437134673 |
|---|---|
| LBN Legal business name | Koblentz, Leslie M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Dec 15th, 2016 - about 10 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 | 1437134673 | NPPES |
| Ohio | MEDICAID | 2490291 |
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