Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDA LEACH
Active OrganizationEDA LEACH is a Exclusive Provider Organization organization located in WYOMING, Michigan. NPI 1619294634 is currently active in the NPPES registry. Verify at CMS.
Exclusive Provider Organization · WYOMING, MI
Registration Details
- NPI Number
- 1619294634
- Provider Type
- Organization
- NPI Issued
- Apr 29, 2010 (16.312223480401 yrs)
- Last Updated
- Apr 29, 2010
- Licenses
-
638107811 (MI)638107811 (MI)638107811 (MI)
Practice Information
- Address
-
1746 DEN HERTOG ST SWWYOMING, MI, 495193337Browse MI providers · Browse ZIP 49519
- Phone
- 6165311142
- Fax
- 6165311142
- Primary Specialty
-
Exclusive Provider Organization
302F00000X
- Additional Specialty
- Point of Service
- Additional Specialty
- Exclusive Provider Organization
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.