Leonard, Alexis

Leonard, Alexis is an sole proprietor health care provider with primary practice located at 102 Rock St , Hughestown PA 18640-3616. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Leonard, Alexis can be contacted via phone (570) 569-2838.

Contact Information

Primary practice address
102 Rock St Hughestown PA 18640-3616
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1245937796
LBN Legal business name Leonard, Alexis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2023
Last updated Feb 14th, 2023 - about last year

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 1245937796 NPPES
Pennsylvania MEDICAID 231741699

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