Provider Demographics
NPI:1689774176
Name:LEONE, JAMES G (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:G
Last Name:LEONE
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 1:6775 APPLEWOOD BLVD.
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4940
Mailing Address - Country:US
Mailing Address - Phone:330-758-2353
Mailing Address - Fax:330-758-9733
Practice Address - Street 1:6775 APPLEWOOD BLVD.
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-4940
Practice Address - Country:US
Practice Address - Phone:330-758-2353
Practice Address - Fax:330-758-9733
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH675111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0328210Medicaid
OH0328210Medicaid
OH0438992Medicare PIN