Leasure, Denise Kirk
Leasure, Denise Kirk is an sole proprietor health care provider with primary practice located at 769 Clearview Dr , Charleston SC 29412-4545. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Leasure, Denise Kirk can be contacted via phone (843) 442-1052.Contact Information
Primary practice address
769 Clearview Dr
Charleston SC 29412-4545
Phone: (843) 442-1052
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2955 | South Carolina |
Profile Details
| NPI number | 1780736629 |
|---|---|
| LBN Legal business name | Leasure, Denise Kirk |
| Credentials | CCC.SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Mar 19th, 2009 - about 16 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 | 1780736629 | NPPES |
| South Carolina | MEDICAID | SAO275 |
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