Leonard, Ben

Leonard, Ben is an individual health care provider with primary practice located at 43 Industrial Pkwy , Calvert City KY 42029-8416. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Other Service Providers / Specialist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Leonard, Ben can be contacted via phone (270) 395-8331.

Contact Information

Primary practice address
43 Industrial Pkwy Calvert City KY 42029-8416
Phone: (270) 395-8331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1896DT Kentucky
Other Service Providers / Specialist 174400000X 1896DT Kentucky

Profile Details

NPI number 1306191218
LBN Legal business name Leonard, Ben
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2012
Last updated Oct 15th, 2015 - about 10 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 1306191218 NPPES
Kentucky Other 000000781207 ANTHEM
Kentucky MEDICAID 7100215320 ANTHEM

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