Leak, Tallis

Leak, Tallis is an sole proprietor health care provider with primary practice located at 2940 Trawick Rd Ste 4 , Raleigh NC 27604-3770. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Leak, Tallis can be contacted via phone (919) 332-9235.

Contact Information

Primary practice address
2940 Trawick Rd Ste 4 Raleigh NC 27604-3770
Phone: (919) 332-9235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1669140406
LBN Legal business name Leak, Tallis
Credentials MD,DO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2021
Last updated Sep 4th, 2021 - about 5 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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