Altidor, Leodor
Altidor, Leodor is an sole proprietor health care provider with primary practice located at 7207 Baltimore Ave , College Park MD 20740-3269. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Altidor, Leodor can be contacted via phone (301) 615-8802.Contact Information
Primary practice address
7207 Baltimore Ave
College Park MD 20740-3269
Phone: (301) 615-8802
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LGP8988 | Maryland |
Profile Details
| NPI number | 1932747763 |
|---|---|
| LBN Legal business name | Altidor, Leodor |
| Credentials | LGPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2019 |
| Last updated | Dec 11th, 2019 - about 7 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 | 1932747763 | NPPES |
| Maryland | Other | LGP8988 | MARYLAND BOARD OF COUNSELING |
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