Carter, Leo Rondus
Carter, Leo Rondus is an sole proprietor health care provider with primary practice located at 2115 Executive Dr Ste 2D , Hampton VA 23666-2411. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Carter, Leo Rondus can be contacted via phone (757) 827-1351.Contact Information
Primary practice address
2115 Executive Dr Ste 2D
Hampton VA 23666-2411
Phone: (757) 827-1351
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101029490 | Virginia |
Profile Details
| NPI number | 1952315491 |
|---|---|
| LBN Legal business name | Carter, Leo Rondus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952315491 | NPPES |
| Virginia | Other | 51268 | OPTIMA HEALTH |
| Virginia | MEDICAID | 6500196 | OPTIMA HEALTH |
| Virginia | Other | 220094 | OPTIMA HEALTH |
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