Healthcare Provider Details

I. General information

NPI: 1760081053
Provider Name (Legal Business Name): JONI LEIFHEIT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2020
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1996 TIFFIN AVE
FINDLAY OH
45840-6741
US

IV. Provider business mailing address

204 ELM ST
VAN BUREN OH
45889-9784
US

V. Phone/Fax

Practice location:
  • Phone: 419-427-3662
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03227943
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: