Leonard, Evelyn Ann

Leonard, Evelyn Ann is an sole proprietor health care provider with primary practice located at 801 20Th Ave E , Jasper AL 35501-4070. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Leonard, Evelyn Ann can be contacted via phone (205) 384-0311.

Contact Information

Primary practice address
801 20Th Ave E Jasper AL 35501-4070
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00012740 Alabama
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 00012740 Alabama
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 00012740 Alabama

Profile Details

NPI number 1114976859
LBN Legal business name Leonard, Evelyn Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated Jan 27th, 2010 - about 16 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 1114976859 NPPES
Alabama MEDICAID 009917090
Alabama MEDICAID 009962675

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