Stor, Leon
Stor, Leon is an individual health care provider with primary practice located at 11750 W 2Nd Pl Suite 255, Lakewood CO 80228-1575. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Stor, Leon can be contacted via phone (720) 321-8040.Contact Information
Primary practice address
11750 W 2Nd Pl Suite 255
Lakewood CO 80228-1575
Phone: (720) 321-8040
Fax: (720) 321-8041
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA-2907 | Colorado |
Profile Details
NPI number | 1235462813 |
---|---|
LBN Legal business name | Stor, Leon |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2009 |
Last updated | Apr 10th, 2014 - about 11 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 | 1235462813 | NPPES |
Colorado | MEDICAID | 91104530 |
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