Eneboe, Paul Leo

Eneboe, Paul Leo is an individual health care provider with primary practice located at 4136 Bartlett St Homer Medical Clinic, Homer AK 99603-7015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eneboe, Paul Leo can be contacted via phone (907) 235-8586.

Contact Information

Primary practice address
4136 Bartlett St Homer Medical Clinic Homer AK 99603-7015
Phone: (907) 235-8586
Fax: (907) 235-6639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 583 Alaska

Profile Details

NPI number 1043352214
LBN Legal business name Eneboe, Paul Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Mar 7th, 2023 - about last year

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 1043352214 NPPES
Alaska MEDICAID MD0583

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