Hines, Leonard Harvey

Hines, Leonard Harvey is an individual health care provider with primary practice located at 6005 Park Ave Suite 821-B, Memphis TN 38119-5202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hines, Leonard Harvey can be contacted via phone (901) 726-1056.

Contact Information

Primary practice address
6005 Park Ave Suite 821-B Memphis TN 38119-5202
Fax: (901) 726-5867
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5164 Tennessee

Profile Details

NPI number 1003926478
LBN Legal business name Hines, Leonard Harvey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 12th, 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 1003926478 NPPES
Tennessee MEDICAID 3154869

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