Brown, Leslie N
Brown, Leslie N is an individual health care provider with primary practice located at 79 Wawecus St Ste. 101, Norwich CT 06360-2160. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Brown, Leslie N can be contacted via phone (860) 886-2655.Contact Information
Primary practice address
79 Wawecus St Ste. 101
Norwich CT 06360-2160
Phone: (860) 886-2655
Fax: (860) 886-2655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 002505 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 002505 | Connecticut |
Profile Details
| NPI number | 1760790612 |
|---|---|
| LBN Legal business name | Brown, Leslie N |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2010 |
| Last updated | Jan 3rd, 2018 - about 7 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 | 1760790612 | NPPES |
| Connecticut | MEDICAID | 008030891 | |
| Connecticut | Other | 9705626 |
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