Provider Demographics
NPI:1366473795
Name:LENHART, LEONARD JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:JOHN
Last Name:LENHART
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16030 EAST HIGH STREET
Mailing Address - Street 2:P.O. BOX 1238
Mailing Address - City:MIDDLEFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44062-1238
Mailing Address - Country:US
Mailing Address - Phone:440-632-1112
Mailing Address - Fax:440-632-0183
Practice Address - Street 1:16030 E HIGH ST
Practice Address - Street 2:
Practice Address - City:MIDDLEFIELD
Practice Address - State:OH
Practice Address - Zip Code:44062-9474
Practice Address - Country:US
Practice Address - Phone:440-632-1112
Practice Address - Fax:440-632-0183
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003021L111N00000X
OH1150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0613965Medicaid
OH0613965Medicaid
OHLE0573542Medicare ID - Type Unspecified