Busby, Leslie J

Busby, Leslie J is an individual health care provider with primary practice located at 7115 Greenback Ln Fl1, Citrus Heights CA 95621-6133. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Busby, Leslie J can be contacted via phone (916) 536-3550.

Contact Information

Primary practice address
7115 Greenback Ln Fl1 Citrus Heights CA 95621-6133
Phone: (916) 536-3550
Fax: (916) 536-3554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X CA08683T California

Profile Details

NPI number 1922073436
LBN Legal business name Busby, Leslie J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2006
Last updated Apr 6th, 2020 - about 4 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 1922073436 NPPES
California MEDICAID SD0086830

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