Leonard, Deborah Dawn
Leonard, Deborah Dawn is an individual health care provider with primary practice located at 255 Enterprise Blvd Ste 101, Greenville SC 29615-6300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Leonard, Deborah Dawn can be contacted via phone (864) 454-8120.Contact Information
Primary practice address
255 Enterprise Blvd Ste 101
Greenville SC 29615-6300
Phone: (864) 454-8120
Fax: (864) 454-8125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 17843 | South Carolina |
Profile Details
| NPI number | 1225387251 |
|---|---|
| LBN Legal business name | Leonard, Deborah Dawn |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2012 |
| Last updated | Apr 20th, 2017 - about 7 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 | 1225387251 | NPPES |
| South Carolina | MEDICAID | APPROVED |
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