Individual
JANE M LEIBY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
810 JASONWAY AVE, STE A, COLUMBUS, OH 43214-4359
(614) 442-3130
(614) 442-3145
Mailing address
810 JASONWAY AVE, STE A, COLUMBUS, OH 43214-4359
(614) 442-3130
(614) 442-3145
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35046908
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000014181
ANTHEM
OH
05
—
0554163
—
OH
01
—
1435
NATIONWIDE
OH
01
—
3600076
UHC
OH
Enumeration date
06/22/2005
Last updated
07/08/2007
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