Anewenah, Leslie Stanislaus

Anewenah, Leslie Stanislaus is an sole proprietor health care provider with primary practice located at 1730 E Lake Shore Dr , Decatur IL 62521-3809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Anewenah, Leslie Stanislaus can be contacted via phone (217) 329-1000.

Contact Information

Primary practice address
1730 E Lake Shore Dr Decatur IL 62521-3809
Phone: (217) 329-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 79450 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 036149330 Illinois

Profile Details

NPI number 1508110198
LBN Legal business name Anewenah, Leslie Stanislaus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2012
Last updated Dec 28th, 2021 - about 4 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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