Knox, Leroy

Knox, Leroy is an individual health care provider with primary practice located at 1500 W Chestnut St , Washington PA 15301-5864. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Knox, Leroy can be contacted via phone (724) 228-1028.

Contact Information

Primary practice address
1500 W Chestnut St Washington PA 15301-5864
Phone: (724) 228-1028
Fax: (724) 228-1946
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1861474934
LBN Legal business name Knox, Leroy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jul 8th, 2007 - about 17 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 1861474934 NPPES
Pennsylvania MEDICAID 0510301804

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