Chretien, Leo T
Chretien, Leo T is an sole proprietor health care provider with primary practice located at 450 This Way St Ste C, Lake Jackson TX 77566-5142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chretien, Leo T can be contacted via phone (979) 299-6844.Contact Information
Primary practice address
450 This Way St Ste C
Lake Jackson TX 77566-5142
Phone: (979) 299-6844
Fax: (979) 297-3919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | J2867 | Texas |
Profile Details
| NPI number | 1538165436 |
|---|---|
| LBN Legal business name | Chretien, Leo T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Feb 25th, 2008 - about 16 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 | 1538165436 | NPPES |
| Other | 0031JJ | BLUE CROSS BLUE SHIELD |
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