MEDICARE: MRS. LEAH CAROLYN HUFF PA-C

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	363A00000X	Physician Assistant	002951	OH

General Provider Information

NPI Number	:	1548592454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LEAH CAROLYN HUFF PA-C

Provider Business Mailing Address
First Line	:	3750 NORTHWOOD RD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-3738
Country	:	US
Telephone Number	:	606-316-3422
Fax Number	:

Provider Business Practice Location Address
First Line	:	3750 NORTHWOOD RD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-3738
Country	:	US
Telephone Number	:	606-316-3422
Fax Number	:

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

Provider Enumeration Date	:	02/02/2010
Last Update Date	:	02/02/2010

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