Velazquez, Leonardo Javier

Velazquez, Leonardo Javier is an individual health care provider with primary practice located at 1504 N Main St , Palmer MA 01069-1215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Velazquez, Leonardo Javier can be contacted via phone (413) 283-3511.

Contact Information

Primary practice address
1504 N Main St Palmer MA 01069-1215
Phone: (413) 283-3511
Fax: (413) 283-5396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 223086 Massachusetts

Profile Details

NPI number 1396731097
LBN Legal business name Velazquez, Leonardo Javier
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jan 30th, 2018 - about 8 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 1396731097 NPPES
Rhode Island MEDICAID 7057674
Rhode Island MEDICAID 2100908

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