Fodeman, Leslie J
Fodeman, Leslie J is an sole proprietor health care provider with primary practice located at 12 Hillspoint Rd , Westport CT 06880-4536. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Legal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fodeman, Leslie J can be contacted via phone (203) 226-3411.Contact Information
Primary practice address
12 Hillspoint Rd
Westport CT 06880-4536
Phone: (203) 226-3411
Fax: (203) 226-3411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12646 | Connecticut |
| Other Service Providers / Legal Medicine | 173000000X | 12646 | Connecticut |
Profile Details
| NPI number | 1730591777 |
|---|---|
| LBN Legal business name | Fodeman, Leslie J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2014 |
| Last updated | May 27th, 2014 - about 11 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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