Paulos, Leon E

Paulos, Leon E is an individual health care provider with primary practice located at 324 10Th Ave Suite 175, Salt Lake City UT 84103-2853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Paulos, Leon E can be contacted via phone (801) 408-8123.

Contact Information

Primary practice address
324 10Th Ave Suite 175 Salt Lake City UT 84103-2853
Phone: (801) 408-8123
Fax: (801) 408-8124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 157061-8905 Utah
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 5107 Nevada
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME102290 Florida

Profile Details

NPI number 1992700330
LBN Legal business name Paulos, Leon E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated May 4th, 2012 - about 12 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 1992700330 NPPES
Alabama Other 592-02754 BLUE CROSS BLUE SHIELD
Alabama Other 53250 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 000725800 BLUE CROSS BLUE SHIELD

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