Polanco, Leonard Flores

Polanco, Leonard Flores is an individual health care provider with primary practice located at 217 E Elm St , Graham NC 27253-3021. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Polanco, Leonard Flores can be contacted via phone (336) 350-8039.

Contact Information

Primary practice address
217 E Elm St Graham NC 27253-3021
Phone: (336) 350-8039
Fax: (336) 350-8393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 39064 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39064 North Carolina

Profile Details

NPI number 1811962954
LBN Legal business name Polanco, Leonard Flores
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Feb 22nd, 2021 - 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 1811962954 NPPES
North Carolina Other 68328 BLUE CROSS BLUE SHIELD OF
North Carolina MEDICAID 5900679 BLUE CROSS BLUE SHIELD OF
North Carolina Other 2149574N BLUE CROSS BLUE SHIELD OF

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