Bornfleth, Leslie R
Bornfleth, Leslie R is an individual health care provider with primary practice located at 111 S 11Th Ave Suite 321, Yakima WA 98902-3242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Bornfleth, Leslie R can be contacted via phone (509) 248-3954.Contact Information
Primary practice address
111 S 11Th Ave Suite 321
Yakima WA 98902-3242
Phone: (509) 248-3954
Fax: (509) 248-3955
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MD00014255 | Washington |
Profile Details
NPI number | 1710992185 |
---|---|
LBN Legal business name | Bornfleth, Leslie R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 31st, 2006 |
Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710992185 | NPPES |
Washington | MEDICAID | 8119208 |
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