Launch, Leslie

Launch, Leslie is an individual health care provider with primary practice located at 12255 De Paul Dr Suite 700, Bridgeton MO 63044-2510. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Launch, Leslie can be contacted via phone (314) 739-4166.

Contact Information

Primary practice address
12255 De Paul Dr Suite 700 Bridgeton MO 63044-2510
Phone: (314) 739-4166
Fax: (314) 739-2485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R2J26 Missouri

Profile Details

NPI number 1346221090
LBN Legal business name Launch, Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Sep 21st, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346221090 NPPES
Missouri Other 000000012460 ESSENCE ST CHARLES
Missouri MEDICAID 202580411 ESSENCE ST CHARLES
Missouri Other A25928 ESSENCE ST CHARLES
Missouri Other 109346 ESSENCE ST CHARLES
Missouri Other 5418213 ESSENCE ST CHARLES
Missouri Other 0400842 ESSENCE ST CHARLES
Missouri Other D04008 ESSENCE ST CHARLES
Missouri Other 000000010023 ESSENCE ST CHARLES
Missouri Other 103088 ESSENCE ST CHARLES
Missouri Other 127510 ESSENCE ST CHARLES

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