Edgecomb, Leslie D
Edgecomb, Leslie D is an individual health care provider with primary practice located at 5949 W Raymond St , Indianapolis IN 46241-4348. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Edgecomb, Leslie D can be contacted via phone (317) 390-5575.Contact Information
Primary practice address
5949 W Raymond St
Indianapolis IN 46241-4348
Phone: (317) 390-5575
Fax: (317) 486-2189
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 31001170A | Indiana |
Profile Details
NPI number | 1780646042 |
---|---|
LBN Legal business name | Edgecomb, Leslie D |
Credentials | Occupational Therapist (OT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2006 |
Last updated | May 24th, 2012 - about 13 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 | 1780646042 | NPPES |
Indiana | Other | P01023463 | MEDICARE RR |
Indiana | MEDICAID | 200117530 | MEDICARE RR |
Indiana | Other | 000000213935 | MEDICARE RR |
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