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Contact Information

LESLIE E EALY, RN
233 BANNOCK DR
MAINEVILLE, OH45039
 Phone: 513-560-1100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Gerontology

163WG0600X
Indicates primary specialty

NPI Profile & details for LESLIE E EALY · (Female)

NPI Number 1265953715
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/05/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 458157
  • OH Medicaid 8304865
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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