Wiggins, Leondre Jamal
Wiggins, Leondre Jamal is an individual health care provider with primary practice located at 10 Meadowbrook Rd , Brockton MA 02301-7122. 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. Wiggins, Leondre Jamal can be contacted via phone (774) 628-1000.Contact Information
Primary practice address
10 Meadowbrook Rd
Brockton MA 02301-7122
Phone: (774) 628-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1104422633 |
|---|---|
| LBN Legal business name | Wiggins, Leondre Jamal |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2020 |
| Last updated | Dec 9th, 2020 - about 6 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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