Organization
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
Active
Other names
Toyota Family Health Center Erlinger
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN M D (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
25 ATLANTIC AVE, ERLANGER, KY 41018-3151
(859) 746-6630
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
(877) 865-9013
(217) 709-2345
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
11/03/2011
Last updated
08/15/2022
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