Leopold, Jean G

Leopold, Jean G is an individual health care provider with primary practice located at 1650 Medical Ln Ste 4 , Fort Myers FL 33907-1116. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is his primary health care specialty. Leopold, Jean G can be contacted via phone (239) 334-6160.

Contact Information

Primary practice address
1650 Medical Ln Ste 4 Fort Myers FL 33907-1116
Phone: (239) 334-6160
Fax: (239) 334-1339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Florida

Profile Details

NPI number 1326235045
LBN Legal business name Leopold, Jean G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2007
Last updated May 13th, 2020 - about 4 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 1326235045 NPPES
Florida MEDICAID 009507200

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