Proctor, Leonard R
Proctor, Leonard R is an sole proprietor health care provider with primary practice located at 520 Upper Chesapeake Dr Suite 206, Bel Air MD 21014-4339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Proctor, Leonard R can be contacted via phone (410) 879-9100.Contact Information
Primary practice address
520 Upper Chesapeake Dr Suite 206
Bel Air MD 21014-4339
Phone: (410) 879-9100
Fax: (410) 879-0227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | D0020022 | Maryland |
Profile Details
| NPI number | 1104982651 |
|---|---|
| LBN Legal business name | Proctor, Leonard R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1104982651 | NPPES |
| Maryland | Other | 498841 | NCAS |
| Maryland | Other | 2238291 | NCAS |
| Maryland | Other | 4669138 | NCAS |
| Maryland | Other | 34735011 | NCAS |
| Maryland | MEDICAID | 82012000 | NCAS |
| Maryland | Other | E5130006 | NCAS |
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