Leonard, Johnny D

Leonard, Johnny D is an individual health care provider with primary practice located at 901 Arsenal Ave Suite 202, Fayetteville NC 28305-5398. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Leonard, Johnny D can be contacted via phone (910) 323-3368.

Contact Information

Primary practice address
901 Arsenal Ave Suite 202 Fayetteville NC 28305-5398
Phone: (910) 323-3368
Fax: (910) 486-7000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 9092 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2305 North Carolina

Profile Details

NPI number 1407132079
LBN Legal business name Leonard, Johnny D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2011
Last updated Oct 10th, 2014 - about 12 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 1407132079 NPPES
North Carolina MEDICAID 6112397

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