Fain-Leslie, Amber
Fain-Leslie, Amber is an sole proprietor health care provider with primary practice located at 313 South Ave Ste 402 , Springfield MO 65806-2255. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fain-Leslie, Amber can be contacted via phone (417) 848-5802.Contact Information
Primary practice address
313 South Ave Ste 402
Springfield MO 65806-2255
Phone: (417) 848-5802
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2003011959 | Missouri |
Profile Details
| NPI number | 1457357303 |
|---|---|
| LBN Legal business name | Fain-Leslie, Amber |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Jul 15th, 2022 - about 3 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 | 1457357303 | NPPES |
| Missouri | MEDICAID | 496136003 | |
| Missouri | Other | 000021698 |
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