General, Raymond Leo

General, Raymond Leo is an individual health care provider with primary practice located at 504 W Penn St , Selinsgrove PA 17870-1644. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. General, Raymond Leo can be contacted via phone (570) 374-4625.

Contact Information

Primary practice address
504 W Penn St Selinsgrove PA 17870-1644
Phone: (570) 374-4625
Fax: (570) 374-0052
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 031450-L Pennsylvania

Profile Details

NPI number 1811058787
LBN Legal business name General, Raymond Leo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811058787 NPPES
Pennsylvania Other 031450-L DENTAL LICENSE

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