Ellman, Leon Adley

Ellman, Leon Adley is an individual health care provider with primary practice located at 421 Market St , Kingston PA 18704-5442. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ellman, Leon Adley can be contacted via phone (570) 283-0220.

Contact Information

Primary practice address
421 Market St Kingston PA 18704-5442
Phone: (570) 283-0220
Fax: (570) 283-1707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC-001380-L Pennsylvania

Profile Details

NPI number 1770529208
LBN Legal business name Ellman, Leon Adley
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1770529208 NPPES
Pennsylvania MEDICAID 0505757

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