Brocchini, Leslie M
Brocchini, Leslie M is an sole proprietor health care provider with primary practice located at 19933 Greenley Rd Ste B , Sonora CA 95370-5906. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Brocchini, Leslie M can be contacted via phone (209) 743-4249.Contact Information
Primary practice address
19933 Greenley Rd Ste B
Sonora CA 95370-5906
Phone: (209) 743-4249
Fax: (209) 536-0506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A72362 | California |
Profile Details
| NPI number | 1811966047 |
|---|---|
| LBN Legal business name | Brocchini, Leslie M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Dec 10th, 2014 - about 11 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 | 1811966047 | NPPES |
| California | MEDICAID | 00A723620 |
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