Leroy, James A

Leroy, James A is an individual health care provider with primary practice located at 12425 W Bell Rd Suite 200, Surprise AZ 85378-9006. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Leroy, James A can be contacted via phone (623) 374-7774.

Contact Information

Primary practice address
12425 W Bell Rd Suite 200 Surprise AZ 85378-9006
Phone: (623) 374-7774
Fax: (623) 240-1110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1766 Arizona

Profile Details

NPI number 1013985639
LBN Legal business name Leroy, James A
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jan 18th, 2013 - about 13 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 1013985639 NPPES
Arizona MEDICAID 066672

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