Breidenbach, Leslie Lee

Breidenbach, Leslie Lee is an sole proprietor health care provider with primary practice located at 1330 Grove Ave , Racine WI 53405-3045. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Breidenbach, Leslie Lee can be contacted via phone (262) 633-4548.

Contact Information

Primary practice address
1330 Grove Ave Racine WI 53405-3045
Phone: (262) 633-4548
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 28104-031 Wisconsin

Profile Details

NPI number 1821126319
LBN Legal business name Breidenbach, Leslie Lee
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821126319 NPPES
Wisconsin MEDICAID 38317300

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