Gillette, Leanna Juyne
Gillette, Leanna Juyne is an individual health care provider with primary practice located at 707 Hamilton St Fl 4 , Allentown PA 18101-2407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Brain Injury Medicine, which is considered as her primary health care specialty. Gillette, Leanna Juyne can be contacted via phone (484) 862-3001.Contact Information
Primary practice address
707 Hamilton St Fl 4
Allentown PA 18101-2407
Phone: (484) 862-3001
Fax: (484) 862-3013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Brain Injury Medicine | 2081P0301X | PT029475 | Pennsylvania |
Profile Details
| NPI number | 1265008197 |
|---|---|
| LBN Legal business name | Gillette, Leanna Juyne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2021 |
| Last updated | Oct 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265008197 | NPPES |
| Pennsylvania | MEDICAID | 1023782260003 |
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