Leo, Corey Wayne

Leo, Corey Wayne is an sole proprietor health care provider with primary practice located at 1801 16Th St Box 5180, Greeley CO 80631-5154. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Leo, Corey Wayne can be contacted via phone (970) 350-6066.

Contact Information

Primary practice address
1801 16Th St Box 5180 Greeley CO 80631-5154
Phone: (970) 350-6066
Fax: (970) 350-6274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 85002510 Illinois

Profile Details

NPI number 1538381488
LBN Legal business name Leo, Corey Wayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2007
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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