Stanford, Leroy

Stanford, Leroy is an sole proprietor health care provider with primary practice located at 2600 Mount Ephraim Ave Suite 405, Camden NJ 08104-3236. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Stanford, Leroy can be contacted via phone (856) 963-7323.

Contact Information

Primary practice address
2600 Mount Ephraim Ave Suite 405 Camden NJ 08104-3236
Fax: (856) 963-7324
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00215600 New Jersey

Profile Details

NPI number 1013395052
LBN Legal business name Stanford, Leroy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2015
Last updated May 11th, 2015 - about 11 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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