Provider Demographics
NPI:1366812935
Name:ALLERGY AND ASTHMA
Entity type:Organization
Organization Name:ALLERGY AND ASTHMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIPZIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-894-0500
Mailing Address - Street 1:7927 JESSIES WAY
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-8077
Mailing Address - Country:US
Mailing Address - Phone:513-894-0500
Mailing Address - Fax:
Practice Address - Street 1:7927 JESSIES WAY
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-8077
Practice Address - Country:US
Practice Address - Phone:513-894-0500
Practice Address - Fax:513-894-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-25
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35074376207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty