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Individual

LEAH CHRISTINE EIDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
204 N MAIN ST, BLUFFTON, OH 45817-1284
(419) 996-5002
(419) 996-5001
Mailing address
1740 N PERRY ST, SUITE A, OTTAWA, OH 45875-1173
(419) 523-0012
(419) 523-3416

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.075407
OH
207Q00000X
Family Medicine Physician
Primary
35075407
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000344045
ANTHEM BC/BS
OH
01
000000550108
ANTHEM BC/BS
OH
01
04639
PARAMOUNT
OH
05
2176934
OH
01
735435
BUCKEYE
OH
01
P00187965
RAILROAD CARE
OH
01
P00472599
RAILROAD CARE
OH
Enumeration date
05/10/2006
Last updated
10/28/2024
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