Leon Velarde Carreno, Ernesto

Leon Velarde Carreno, Ernesto is an individual health care provider with primary practice located at 2771 Silver Creek Rd Ste 120 , Bullhead City AZ 86442-8023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Leon Velarde Carreno, Ernesto can be contacted via phone (928) 763-7722.

Contact Information

Primary practice address
2771 Silver Creek Rd Ste 120 Bullhead City AZ 86442-8023
Fax: (928) 763-7744
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 64329 Arizona

Profile Details

NPI number 1619402609
LBN Legal business name Leon Velarde Carreno, Ernesto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2017
Last updated Jul 14th, 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 1619402609 NPPES
Arizona MEDICAID 124036

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