Mccauley, Leesa Damar

Mccauley, Leesa Damar is an individual health care provider with primary practice located at 2400 17Th St , Columbus IN 47201-5351. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Mccauley, Leesa Damar can be contacted via phone (812) 376-5974.

Contact Information

Primary practice address
2400 17Th St Columbus IN 47201-5351
Phone: (812) 376-5974
Fax: (812) 375-3203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 57-012612 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01074422A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01074422A Indiana

Profile Details

NPI number 1194936807
LBN Legal business name Mccauley, Leesa Damar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Mar 24th, 2023 - about 3 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 1194936807 NPPES
Indiana Other 000000984086 ANTHEM PIN
Indiana Other 01074422B ANTHEM PIN
Indiana MEDICAID 201248300A ANTHEM PIN
Indiana MEDICAID 2997155 ANTHEM PIN
Indiana Other 01074422A ANTHEM PIN

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