Jefferson, Cornell Leon
Jefferson, Cornell Leon is an sole proprietor health care provider with primary practice located at 4915 E Russell Rd Apt 125 , Las Vegas NV 89120-2387. He recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as his primary health care specialty. Jefferson, Cornell Leon can be contacted via phone (702) 788-0091.Contact Information
Primary practice address
4915 E Russell Rd Apt 125
Las Vegas NV 89120-2387
Phone: (702) 788-0091
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | 320800000X | Nevada |
Profile Details
| NPI number | 1396004263 |
|---|---|
| LBN Legal business name | Jefferson, Cornell Leon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2012 |
| Last updated | May 11th, 2012 - 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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