Anderson, Leslie
Anderson, Leslie is an sole proprietor health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Anderson, Leslie can be contacted via phone (217) 383-3313.Contact Information
Primary practice address
611 W Park St
Urbana IL 61801-2529
Phone: (217) 383-3313
Fax: (217) 383-4014
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036155016 | Illinois |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 125.071313 | Illinois |
Profile Details
NPI number | 1154841070 |
---|---|
LBN Legal business name | Anderson, Leslie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 21st, 2017 |
Last updated | Jun 11th, 2021 - about 3 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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