Delorenzo, Leonard
Delorenzo, Leonard is an individual health care provider with primary practice located at 160 Allen St , Rutland VT 05701-4560. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Delorenzo, Leonard can be contacted via phone (802) 747-1831.Contact Information
Primary practice address
160 Allen St
Rutland VT 05701-4560
Phone: (802) 747-1831
Fax: (802) 747-1826
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9101620 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 055-0031054 | Vermont |
Profile Details
NPI number | 1104851633 |
---|---|
LBN Legal business name | Delorenzo, Leonard |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2006 |
Last updated | Aug 22nd, 2013 - about 11 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 | 1104851633 | NPPES |
Florida | MEDICAID | 291646100 |
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