Blanton, Leonard Gregory

Blanton, Leonard Gregory is an individual health care provider with primary practice located at 2449 Hospital Dr Suite 260, Bossier City LA 71111-2399. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Blanton, Leonard Gregory can be contacted via phone (318) 212-7840.

Contact Information

Primary practice address
2449 Hospital Dr Suite 260 Bossier City LA 71111-2399
Phone: (318) 212-7840
Fax: (318) 212-7845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 021950 Louisiana

Profile Details

NPI number 1831135698
LBN Legal business name Blanton, Leonard Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jun 18th, 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 1831135698 NPPES
Louisiana MEDICAID 1538515
Louisiana MEDICAID 060901802

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