Goodrum, Leslie Kendle
Goodrum, Leslie Kendle is an sole proprietor health care provider with primary practice located at 38201 W Indian School Rd , Tonopah AZ 85354-7301. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Goodrum, Leslie Kendle can be contacted via phone (623) 386-5688.Contact Information
Primary practice address
38201 W Indian School Rd
Tonopah AZ 85354-7301
Phone: (623) 386-5688
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 0753 | Arizona |
Profile Details
| NPI number | 1982748570 |
|---|---|
| LBN Legal business name | Goodrum, Leslie Kendle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Jul 9th, 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 | 1982748570 | NPPES |
| Arizona | MEDICAID | 225XP0200X |
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