Dantzler, Leon E

Dantzler, Leon E is an individual health care provider with primary practice located at 101 Robeson St Suite 300, Fayetteville NC 28301-5552. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dantzler, Leon E can be contacted via phone (910) 609-1617.

Contact Information

Primary practice address
101 Robeson St Suite 300 Fayetteville NC 28301-5552
Phone: (910) 609-1617
Fax: (910) 609-1618
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 39256 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39256 North Carolina

Profile Details

NPI number 1285637397
LBN Legal business name Dantzler, Leon E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Apr 16th, 2019 - about 5 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 1285637397 NPPES
North Carolina MEDICAID 8926988

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