Burt, Leslie S
Burt, Leslie S is an individual health care provider with primary practice located at 1947 Medical Ave , Harrisonburg VA 22801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Burt, Leslie S can be contacted via phone (540) 434-3004.Contact Information
Primary practice address
1947 Medical Ave
Harrisonburg VA 22801
Phone: (540) 434-3004
Fax: (540) 433-2540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101028266 | Virginia |
Profile Details
| NPI number | 1437123684 |
|---|---|
| LBN Legal business name | Burt, Leslie S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1437123684 | NPPES |
| Virginia | Other | 067299 | ANTHEM |
| Virginia | Other | 27904 | ANTHEM |
| Virginia | Other | 145642 | ANTHEM |
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