Leach, Brett D

Leach, Brett D is an individual health care provider with primary practice located at 306 Airport Dr , Moncks Corner SC 29461-2629. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Leach, Brett D can be contacted via phone (843) 761-8272.

Contact Information

Primary practice address
306 Airport Dr Moncks Corner SC 29461-2629
Phone: (843) 761-8272
Fax: (843) 719-3025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1295486629
LBN Legal business name Leach, Brett D
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2022
Last updated Jan 18th, 2022 - about 2 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 1295486629 NPPES
South Carolina MEDICAID 571048948

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