Allen, Leonard Gregory

Allen, Leonard Gregory is an individual health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610-1231. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Allen, Leonard Gregory can be contacted via phone (919) 350-8000.

Contact Information

Primary practice address
3000 New Bern Ave Raleigh NC 27610-1231
Phone: (919) 350-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 101655 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 101665 North Carolina

Profile Details

NPI number 1114986759
LBN Legal business name Allen, Leonard Gregory
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jan 28th, 2021 - about 5 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 1114986759 NPPES
North Carolina Other 3016840 AETNA
North Carolina Other 97582 AETNA
North Carolina Other 0190E AETNA
North Carolina MEDICAID 1114986759 AETNA
North Carolina Other 231662 AETNA
North Carolina MEDICAID 890190E AETNA
North Carolina Other 313454 AETNA

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