Leo, Robert G

Leo, Robert G is an sole proprietor health care provider with primary practice located at 1561 W 7000 S Suite 102, West Jordan UT 84084-3556. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Leo, Robert G can be contacted via phone (801) 568-9895.

Contact Information

Primary practice address
1561 W 7000 S Suite 102 West Jordan UT 84084-3556
Phone: (801) 568-9895
Fax: (801) 352-0400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 116092-5401 Utah

Profile Details

NPI number 1376568907
LBN Legal business name Leo, Robert G
Credentials Radiologic Technologist (RT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated Nov 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376568907 NPPES
Utah MEDICAID 841375719001

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