Divincenzo, Leslie
Divincenzo, Leslie is an individual health care provider with primary practice located at 301 S 8Th St Ste 2I , Philadelphia PA 19106-4017. She recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as her primary health care specialty. Divincenzo, Leslie can be contacted via phone (267) 322-7700.Contact Information
Primary practice address
301 S 8Th St Ste 2I
Philadelphia PA 19106-4017
Phone: (267) 322-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | RN627152 | Pennsylvania |
Profile Details
| NPI number | 1669050753 |
|---|---|
| LBN Legal business name | Divincenzo, Leslie |
| Credentials | DNP-NA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2021 |
| Last updated | Mar 30th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669050753 | NPPES |
| Pennsylvania | MEDICAID | 7504840062 |
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