Bennett, Leslie
Bennett, Leslie is an individual health care provider with primary practice located at 272 Nw Medical Loop Ste C , Roseburg OR 97471-5545. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Bennett, Leslie can be contacted via phone (541) 440-3532.Contact Information
Primary practice address
272 Nw Medical Loop Ste C
Roseburg OR 97471-5545
Phone: (541) 440-3532
Fax: (541) 440-3554
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
NPI number | 1639321409 |
---|---|
LBN Legal business name | Bennett, Leslie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 10th, 2008 |
Last updated | Jul 21st, 2022 - 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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