Divall, Leslie

Divall, Leslie is an individual health care provider with primary practice located at 589 S State St , Provo UT 84606-5056. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Divall, Leslie can be contacted via phone (801) 429-2000.

Contact Information

Primary practice address
589 S State St Provo UT 84606-5056
Phone: (801) 429-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 5611104-4402 Utah

Profile Details

NPI number 1639539521
LBN Legal business name Divall, Leslie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2016
Last updated Apr 15th, 2020 - about 5 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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