Fogel, Leslie Abigail
Fogel, Leslie Abigail is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Rheumatology, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is her primary health care specialty. Fogel, Leslie Abigail can be contacted via phone (314) 454-6124.Contact Information
Primary practice address
1 Childrens Pl Div Ped Rheumatology
Saint Louis MO 63110-1002
Phone: (314) 454-6124
Fax: (844) 616-1418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2019023002 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Rheumatology | 2080P0216X | 2019023002 | Missouri |
Profile Details
| NPI number | 1972953115 |
|---|---|
| LBN Legal business name | Fogel, Leslie Abigail |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2016 |
| Last updated | Apr 25th, 2024 - about 8 months 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 | 1972953115 | NPPES |
| Missouri | MEDICAID | 200063153 |
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