Leone, Timothy Adam

Leone, Timothy Adam is an individual health care provider with primary practice located at 1414 Fern Creek Dr , Statesville NC 28625-9376. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Leone, Timothy Adam can be contacted via phone (704) 660-4968.

Contact Information

Primary practice address
1414 Fern Creek Dr Statesville NC 28625-9376
Fax: (704) 660-4969
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS012891 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 2021-02421 North Carolina

Profile Details

NPI number 1043411259
LBN Legal business name Leone, Timothy Adam
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Nov 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043411259 NPPES
Pennsylvania MEDICAID 101972098

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