Leon, Edward
Leon, Edward is an individual health care provider with primary practice located at 2300 N Edward St Emergency Dept, Decatur IL 62526-4163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Leon, Edward can be contacted via phone (217) 876-3000.Contact Information
Primary practice address
2300 N Edward St Emergency Dept
Decatur IL 62526-4163
Phone: (217) 876-3000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0361409383 | Illinois |
Profile Details
NPI number | 1164496865 |
---|---|
LBN Legal business name | Leon, Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 17th, 2006 |
Last updated | Nov 17th, 2012 - about 13 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 | 1164496865 | NPPES |
Illinois | MEDICAID | 036109383001 | |
Illinois | Other | IL0181 | |
Illinois | Other | 036109383 | |
Illinois | Other | 225150 | |
Illinois | Other | P00053389 | |
Illinois | MEDICAID | 1582965 | |
Illinois | Other | 93334 | |
Illinois | Other | 93378 |
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