Leclair, Jesse Raymond

Leclair, Jesse Raymond is an individual health care provider with primary practice located at 1 Freedom Way Vamc-Dd, Thoracic Surgery, Routing # 22, Augusta GA 30904-6258. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Leclair, Jesse Raymond can be contacted via phone (706) 733-0188.

Contact Information

Primary practice address
1 Freedom Way Vamc-Dd, Thoracic Surgery, Routing # 22 Augusta GA 30904-6258
Phone: (706) 733-0188
Fax: (706) 823-3983
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002936 Georgia

Profile Details

NPI number 1730197047
LBN Legal business name Leclair, Jesse Raymond
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1730197047 NPPES
Other 1008230 NCCPA CERTFICATE NUMBER

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