Leatherman, Gwenn

Leatherman, Gwenn is an individual health care provider with primary practice located at 118 E Oak Ridge Dr Ste 2000 , Hagerstown MD 21740-7890. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Leatherman, Gwenn can be contacted via phone (016) 781-8393.

Contact Information

Primary practice address
118 E Oak Ridge Dr Ste 2000 Hagerstown MD 21740-7890
Phone: (016) 781-8393
Fax: (301) 679-1740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R185941 Maryland
Nursing Service Providers / Registered Nurse 163W00000X R185941 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R185941 Maryland

Profile Details

NPI number 1164875654
LBN Legal business name Leatherman, Gwenn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2016
Last updated Nov 23rd, 2022 - 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.

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