Glick, Leslie H
Glick, Leslie H is an sole proprietor health care provider with primary practice located at 606 Wilson Creek Rd , Lawrenceburg IN 47025-1095. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Glick, Leslie H can be contacted via phone (812) 496-8780.Contact Information
Primary practice address
606 Wilson Creek Rd
Lawrenceburg IN 47025-1095
Phone: (812) 496-8780
Fax: (812) 537-5826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01050774A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01050774A | Indiana |
Profile Details
| NPI number | 1558339606 |
|---|---|
| LBN Legal business name | Glick, Leslie H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Feb 28th, 2023 - about last year |
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 | 1558339606 | NPPES |
| Other | 000000355511 | ANTHEM IN OH KY | |
| Other | P00206914 | ANTHEM IN OH KY | |
| Other | 2518026 | ANTHEM IN OH KY | |
| MEDICAID | 200226980 | ANTHEM IN OH KY |
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