Leandro, David John
Leandro, David John is an individual health care provider with primary practice located at 4760 Lawrenceville Hwy Nw Suite C-1, Lilburn GA 30047-3858. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Leandro, David John can be contacted via phone (770) 921-4480.Contact Information
Primary practice address
4760 Lawrenceville Hwy Nw Suite C-1
Lilburn GA 30047-3858
Phone: (770) 921-4480
Fax: (678) 205-1738
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Contractor | 171W00000X | 9914 | Georgia |
Profile Details
NPI number | 1053317867 |
---|---|
LBN Legal business name | Leandro, David John |
Credentials | C.PED |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2005 |
Last updated | Jul 8th, 2007 - about 18 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 | 1053317867 | NPPES |
Georgia | Other | L937 | KAISER PERMANENTE |
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