Johnson, Leslie E

Johnson, Leslie E is an individual health care provider with primary practice located at 6339 N Big Hollow Rd , Peoria IL 61615-2908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Leslie E can be contacted via phone (309) 693-3315.

Contact Information

Primary practice address
6339 N Big Hollow Rd Peoria IL 61615-2908
Phone: (309) 693-3315
Fax: (309) 693-9385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036066136 Illinois

Profile Details

NPI number 1336111897
LBN Legal business name Johnson, Leslie E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jan 27th, 2010 - about 15 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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