Leon, Benjamin Alexander

Leon, Benjamin Alexander is an individual health care provider with primary practice located at 8555 Taft St , Merrillville IN 46410. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Leon, Benjamin Alexander can be contacted via phone (219) 769-4005.

Contact Information

Primary practice address
8555 Taft St Merrillville IN 46410
Phone: (219) 769-4005
Fax: (219) 769-2508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39000758A Indiana

Profile Details

NPI number 1659372100
LBN Legal business name Leon, Benjamin Alexander
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 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 1659372100 NPPES
Indiana Other 000000360223 ANTHEM BLUECROSS

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