Leonard, Ellen Imber

Leonard, Ellen Imber is an individual health care provider with primary practice located at 6711 S New Braunfels Ave , San Antonio TX 78223-3005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, which is considered as her primary health care specialty. Leonard, Ellen Imber can be contacted via phone (210) 862-7963.

Contact Information

Primary practice address
6711 S New Braunfels Ave San Antonio TX 78223-3005
Phone: (210) 862-7963
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X H0558 Texas

Profile Details

NPI number 1245211895
LBN Legal business name Leonard, Ellen Imber
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Mar 2nd, 2020 - about 6 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 1245211895 NPPES
Texas Other H0558 STATE MEDICAL LICENSE
Texas MEDICAID 1295800-02 STATE MEDICAL LICENSE

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