Leonida, Sophia V
Leonida, Sophia V is an sole proprietor health care provider with primary practice located at 2228 Black Rock Tpke Suite 211, Fairfield CT 06825-3237. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Leonida, Sophia V can be contacted via phone (203) 375-9350.Contact Information
Primary practice address
2228 Black Rock Tpke Suite 211
Fairfield CT 06825-3237
Phone: (203) 375-9350
Fax: (203) 375-8013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 023160 | Connecticut |
Profile Details
| NPI number | 1700821816 |
|---|---|
| LBN Legal business name | Leonida, Sophia V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Mar 17th, 2015 - about 9 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 | 1700821816 | NPPES |
| Connecticut | Other | 061152058 | PHCS |
| Connecticut | Other | 0040556 | PHCS |
| Connecticut | Other | 010023160CT05 | PHCS |
| Connecticut | Other | 061152058 | PHCS |
| Connecticut | Other | 114485 | PHCS |
| Connecticut | Other | 2173536 | PHCS |
| Connecticut | Other | 01023160 | PHCS |
| Connecticut | Other | 114485 | PHCS |
| Connecticut | Other | 061152058 | PHCS |
| Connecticut | Other | 061152058 | PHCS |
| Connecticut | Other | 7530584100 | PHCS |
| Connecticut | Other | 00123160400 | PHCS |
| Connecticut | MEDICAID | 001231604 | PHCS |
| Connecticut | Other | 061152058 | PHCS |
| Connecticut | Other | 061152058 | PHCS |
| Connecticut | Other | 061152058 | PHCS |
| Connecticut | Other | ZP060 | PHCS |
| Connecticut | Other | 061152058 | PHCS |
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