Individual
MR. EUGENE JOSEPH VAN LEEUWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 HIGHLAND AVE., SUITE E, CINCINNATI, OH 45219-2315
(513) 961-8861
(513) 487-3770
Mailing address
3001 HIGHLAND AVE., SUITE E, CINCINNATI, OH 45219-2315
(513) 961-8861
(513) 487-3770
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35055807
OH
2084P0804X
Child & Adolescent Psychiatry Physician
35055807
OH
2084P0805X
Geriatric Psychiatry Physician
35055807
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196583
ANTHEM
OH
05
—
0744387
—
OH
01
—
1500842
EVERCARE
—
01
—
198316000
MAGELLAN
—
01
—
260046462
RAILROAD MEDICARE
—
01
—
31176049300
BWC
OH
05
—
6405583300
—
KY
Enumeration date
08/04/2006
Last updated
05/22/2023
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