Provider Demographics
NPI:1396561593
Name:LEISHMAN, DARIUS J
Entity type:Individual
Prefix:
First Name:DARIUS
Middle Name:J
Last Name:LEISHMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 19TH ST NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44714-2214
Mailing Address - Country:US
Mailing Address - Phone:330-933-6502
Mailing Address - Fax:
Practice Address - Street 1:2800 MARKET AVE N
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44714-1781
Practice Address - Country:US
Practice Address - Phone:330-224-6065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health