MEDICARE: DAVID P LEONE DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	1574	OH
2	111NX0800X	Orthopedic Chiropractor	1574	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	9338635	OTHER	OH	PARTNERS PHYSICIAN GROUP MEDICARE #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1841239274	OTHER	OH	PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821092594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID P LEONE DC

Provider Business Mailing Address
First Line	:	307 W MAIN ST
Second Line	:	STE C
City	:	KENT
State	:	OH
Zip	:	44240-2400
Country	:	US
Telephone Number	:	330-677-3628
Fax Number	:	330-677-3626

Provider Business Practice Location Address
First Line	:	307 W MAIN ST
Second Line	:	STE C
City	:	KENT
State	:	OH
Zip	:	44240-2400
Country	:	US
Telephone Number	:	330-677-3628
Fax Number	:	330-677-3626

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	01/09/2019

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Directions to “ DAVID P LEONE DC” Practice Location

Language	Start Address	Practice Location

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