Ellentuck, Leonard David
Ellentuck, Leonard David is an sole proprietor health care provider with primary practice located at 10116 Treble Ct , Rockville MD 20850-3561. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ellentuck, Leonard David can be contacted via phone (240) 350-6074.Contact Information
Primary practice address
10116 Treble Ct
Rockville MD 20850-3561
Phone: (240) 350-6074
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 14669 | Maryland |
Profile Details
| NPI number | 1023399250 |
|---|---|
| LBN Legal business name | Ellentuck, Leonard David |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2011 |
| Last updated | Sep 1st, 2011 - about 14 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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