Leonard, Timothy Werner

Leonard, Timothy Werner is an sole proprietor health care provider with primary practice located at 123 West Second Street Po 217 Suite #B, Maysville KY 41056. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Leonard, Timothy Werner can be contacted via phone (606) 564-3375.

Contact Information

Primary practice address
123 West Second Street Po 217 Suite #B Maysville KY 41056
Fax: (606) 564-3375
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4718 Kentucky

Profile Details

NPI number 1821005133
LBN Legal business name Leonard, Timothy Werner
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jul 9th, 2007 - about 18 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 1821005133 NPPES
Kentucky MEDICAID 60047180

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