1619294634 EDA LEACH
Exclusive Provider Organization
Active
Basic Information
- Organization Name
- EDA LEACH
- Enumeration Date
- April 29, 2010
- Last Update
- April 29, 2010
- Authorized Official
- MS. EDA MONICA LEACH LMSW
SOCIAL WORKER
Phone: (616) 531-1142
Practice Location
- Address
- 1746 DEN HERTOG ST SW
WYOMING, MI 495193337 - Phone
- (616) 531-1142
- Fax
- (616) 531-1142
Mailing Address
- Address
- 1746 DEN HERTOG ST SW
WYOMING, MI 495193337 - Phone
- (616) 531-1142
- Fax
- (616) 531-1142
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Social Worker | 104100000X | Social Worker | 638107811 | MI | No |
| Point of Service | 305S00000X | Point of Service | 638107811 | MI | No |
| Exclusive Provider Organization | 302F00000X | Exclusive Provider Organization | 638107811 | MI | Primary |
Frequently Asked Questions
What is EDA LEACH's NPI number?
EDA LEACH's NPI number is 1619294634.
Which doctor has NPI number 1619294634?
The doctor with NPI number 1619294634 is EDA LEACH.
What is EDA LEACH's practice address?
EDA LEACH's practice address is 1746 DEN HERTOG ST SW, WYOMING, MI, 495193337.
Which doctor practices at 1746 DEN HERTOG ST SW, WYOMING, MI, 495193337?
EDA LEACH practices at 1746 DEN HERTOG ST SW, WYOMING, MI, 495193337.
What is EDA LEACH's phone number?
EDA LEACH's phone number is (616) 531-1142.
Who is (616) 531-1142?
(616) 531-1142 is the phone number for EDA LEACH.
What is EDA LEACH's specialty?
EDA LEACH's specialty is Exclusive Provider Organization.
What type of doctor is EDA LEACH?
EDA LEACH is a Exclusive Provider Organization.
Is EDA LEACH a Exclusive Provider Organization?
Yes, EDA LEACH is a Exclusive Provider Organization.
Is EDA LEACH still practicing?
Yes, EDA LEACH is currently practicing.
Is EDA LEACH accepting new patients?
EDA LEACH may be accepting new patients. Please call their office at (616) 531-1142 to inquire about availability.
Is NPI 1619294634 still active?
Yes, NPI 1619294634 is currently active.
Where does EDA LEACH practice?
EDA LEACH practices in WYOMING, MI.