Leroy, John Wayne
Leroy, John Wayne is an individual health care provider with primary practice located at 4506 Se King Rd , Milwaukie OR 97222. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Leroy, John Wayne can be contacted via phone (503) 659-1337.Contact Information
Primary practice address
4506 Se King Rd
Milwaukie OR 97222
Phone: (503) 659-1337
Fax: (503) 659-6411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D5839 | Oregon |
Profile Details
| NPI number | 1811087257 |
|---|---|
| LBN Legal business name | Leroy, John Wayne |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2006 |
| Last updated | Feb 1st, 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.
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