National Provider Identifier Database

A NEW LEAF THERAPY LLC
Multi-Specialty


Contact Information

A NEW LEAF THERAPY, LLC
329 COLORADO AVE
PUEBLO, CO81004-2005
Phone: 719-948-7120
Fax:
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for A NEW LEAF THERAPY, LLC

NPI Number 1811691447
Legal business name
LBN
A NEW LEAF THERAPY, LLC
Authorized official REGAN YOUNG - (CEO)
Entity Organization
Organization subpart No
Enumeration date 03/28/2023
Last updated 03/28/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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