Coody, Leon Carroll

Coody, Leon Carroll is an sole proprietor health care provider with primary practice located at 200 High Park Ave , Goshen IN 46526-4810. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Coody, Leon Carroll can be contacted via phone (574) 364-2673.

Contact Information

Primary practice address
200 High Park Ave Goshen IN 46526-4810
Phone: (574) 364-2673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71007856A Indiana

Profile Details

NPI number 1881102168
LBN Legal business name Coody, Leon Carroll
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2018
Last updated Aug 8th, 2023 - about 3 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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