Provider Demographics
NPI:1831771559
Name:STEPHEN R. LEONE, P.C.
Entity type:Organization
Organization Name:STEPHEN R. LEONE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:RALPH
Authorized Official - Last Name:LEONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-583-2565
Mailing Address - Street 1:450 PLEASANT ST STE 3
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-2536
Mailing Address - Country:US
Mailing Address - Phone:508-583-2565
Mailing Address - Fax:508-580-2477
Practice Address - Street 1:450 PLEASANT ST STE 3
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-2536
Practice Address - Country:US
Practice Address - Phone:508-583-2565
Practice Address - Fax:508-580-2477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty