Leach, Jennifer W

Leach, Jennifer W is an individual health care provider with primary practice located at 301 W Poplar St Suite 100, Walla Walla WA 99362-2858. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Leach, Jennifer W can be contacted via phone (509) 522-5824.

Contact Information

Primary practice address
301 W Poplar St Suite 100 Walla Walla WA 99362-2858
Phone: (509) 522-5824
Fax: (509) 522-5738
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD 60212127 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD28595 Oregon

Profile Details

NPI number 1417165382
LBN Legal business name Leach, Jennifer W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jun 16th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417165382 NPPES
Washington MEDICAID 1417165382
Washington MEDICAID 500635060

Popular Providers