Cisneros, Leonard

Cisneros, Leonard is an sole proprietor health care provider with primary practice located at 1010 E 10Th St , Tucson AZ 85719-5813. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Cisneros, Leonard can be contacted via phone (520) 908-5675.

Contact Information

Primary practice address
1010 E 10Th St Tucson AZ 85719-5813
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1679616171
LBN Legal business name Cisneros, Leonard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679616171 NPPES
Arizona MEDICAID 573099

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