Brandwin, Leslie M
Brandwin, Leslie M is an individual health care provider with primary practice located at 7440 Spring Village Dr , Springfield VA 22150-4446. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Brandwin, Leslie M can be contacted via phone (703) 923-4644.Contact Information
Primary practice address
7440 Spring Village Dr
Springfield VA 22150-4446
Phone: (703) 923-4644
Fax: (703) 923-4625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101-022445 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101022445 | Virginia |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 0101022445 | Virginia |
Profile Details
| NPI number | 1356371496 |
|---|---|
| LBN Legal business name | Brandwin, Leslie M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Dec 3rd, 2015 - about 10 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 | 1356371496 | NPPES |
| Other | 1356371496 | BCBS-VA | |
| Other | 607055-01 | BCBS-VA | |
| Other | 0001 | BCBS-VA | |
| Other | 0411220 | BCBS-VA |
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