Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Leah Ruth Blickensderfer, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1538914833

Dr. Leah Ruth Blickensderfer, DO is a Student in an Organized Health Care Education/Training Program in South Bend, Indiana. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

714 N Michigan St
South Bend, IN 46601-1035
Phone: (574) 647-7477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1538914833
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 19, 2024
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024

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