Donaldson, Leslie Allan

Donaldson, Leslie Allan is an individual health care provider with primary practice located at 42121 Us 70 , Portales NM 88130-9357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Donaldson, Leslie Allan can be contacted via phone (505) 356-6652.

Contact Information

Primary practice address
42121 Us 70 Portales NM 88130-9357
Fax: (505) 359-6827
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2000-26 New Mexico

Profile Details

NPI number 1477505477
LBN Legal business name Donaldson, Leslie Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477505477 NPPES
New Mexico MEDICAID 81307322

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