Leicht, Leslie

Leicht, Leslie is an individual health care provider with primary practice located at 1282 Union Ave , Memphis TN 38104-3414. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Leicht, Leslie can be contacted via phone (989) 657-1370.

Contact Information

Primary practice address
1282 Union Ave Memphis TN 38104-3414
Phone: (989) 657-1370
Fax: (818) 671-2225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X LL069193 Michigan
Other Service Providers / Specialist 174400000X 48942 Tennessee
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 48942 Tennessee

Profile Details

NPI number 1467530618
LBN Legal business name Leicht, Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jul 28th, 2016 - about 9 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 1467530618 NPPES
Tennessee MEDICAID 1529398
Tennessee Other LL069193
Tennessee MEDICAID 4657739
Tennessee Other 4337224
Tennessee MEDICAID 5921502

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