Fuller, Leslie E
Fuller, Leslie E is an sole proprietor health care provider with primary practice located at 1906 Blake Ave , Glenwood Spgs CO 81601-4227. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Fuller, Leslie E can be contacted via phone (970) 945-6535.Contact Information
Primary practice address
1906 Blake Ave
Glenwood Spgs CO 81601-4227
Phone: (970) 945-6535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 32980 | Colorado |
Profile Details
| NPI number | 1962489229 |
|---|---|
| LBN Legal business name | Fuller, Leslie E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Oct 15th, 2007 - about 18 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 | 1962489229 | NPPES |
| Other | FU12322 | BLUE CROSS | |
| MEDICAID | 01329804 | BLUE CROSS |
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