Sturdivant, Leon Harlie
Sturdivant, Leon Harlie is an sole proprietor health care provider with primary practice located at 808 Mystic Dr , Greensboro NC 27406-5726. He recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as his primary health care specialty. Sturdivant, Leon Harlie can be contacted via phone (336) 854-1718.Contact Information
Primary practice address
808 Mystic Dr
Greensboro NC 27406-5726
Phone: (336) 854-1718
Fax: (336) 854-1718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | MHL041732 | North Carolina |
Profile Details
| NPI number | 1215106984 |
|---|---|
| LBN Legal business name | Sturdivant, Leon Harlie |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2008 |
| Last updated | Feb 26th, 2008 - about 16 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 | 1215106984 | NPPES |
| North Carolina | MEDICAID | 9500744861 |
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