Leidenheimer, Stephen T
Leidenheimer, Stephen T is an sole proprietor health care provider with primary practice located at 42707 N Ridge Rd , Elyria OH 44035-1054. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Leidenheimer, Stephen T can be contacted via phone (440) 444-0379.Contact Information
Primary practice address
42707 N Ridge Rd
Elyria OH 44035-1054
Phone: (440) 444-0379
Fax: (440) 654-2778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30020876 | Ohio |
Profile Details
| NPI number | 1194859702 |
|---|---|
| LBN Legal business name | Leidenheimer, Stephen T |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jun 2nd, 2015 - about 11 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 | 1194859702 | NPPES |
| Ohio | MEDICAID | 2093907 |
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