Macias, Leah Ashley

Macias, Leah Ashley is an individual health care provider with primary practice located at 670 Leigh Dr , Columbus MS 39705-3014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Macias, Leah Ashley can be contacted via phone (662) 328-1012.

Contact Information

Primary practice address
670 Leigh Dr Columbus MS 39705-3014
Fax: (662) 328-1507
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00253 Mississippi

Profile Details

NPI number 1053682781
LBN Legal business name Macias, Leah Ashley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2012
Last updated May 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053682781 NPPES
Mississippi MEDICAID 08681064

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