Sumatra, Iris Leyretana
Sumatra, Iris Leyretana is an individual health care provider with primary practice located at 900 Club Dr , Westerville OH 43081-4909. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Sumatra, Iris Leyretana can be contacted via phone (614) 899-2838.Contact Information
Primary practice address
900 Club Dr
Westerville OH 43081-4909
Phone: (614) 899-2838
Fax: (614) 899-2876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP-8112 | Ohio |
Profile Details
| NPI number | 1306983481 |
|---|---|
| LBN Legal business name | Sumatra, Iris Leyretana |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Nov 15th, 2014 - about 12 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 | 1306983481 | NPPES |
| Ohio | MEDICAID | 0094740 |
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