Brasiliense, Leonardo B C

Brasiliense, Leonardo B C is an individual health care provider with primary practice located at 1072 N Liberty St Ste 200 , Boise ID 83704-8963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Brasiliense, Leonardo B C can be contacted via phone (208) 302-4100.

Contact Information

Primary practice address
1072 N Liberty St Ste 200 Boise ID 83704-8963
Phone: (208) 302-4100
Fax: (208) 302-4135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD61270647 Washington
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X M-17423 Idaho

Profile Details

NPI number 1689052664
LBN Legal business name Brasiliense, Leonardo B C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2015
Last updated Aug 31st, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689052664 NPPES
Washington MEDICAID 2213825

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