Leslie, Dean F.

Leslie, Dean F. is an individual health care provider with primary practice located at 3050 Montvale Dr Ste A , Springfield IL 62704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Leslie, Dean F. can be contacted via phone (217) 726-8096.

Contact Information

Primary practice address
3050 Montvale Dr Ste A Springfield IL 62704
Phone: (217) 726-8096
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2018032071 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 36345 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 81149 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 33031 Kentucky

Profile Details

NPI number 1619926664
LBN Legal business name Leslie, Dean F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jan 26th, 2023 - about 2 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 1619926664 NPPES
Kentucky MEDICAID 64330319
Kentucky MEDICAID 200103160
Kentucky MEDICAID 9097732-00
Kentucky Other 000000062492
Kentucky MEDICAID 060795401
Kentucky MEDICAID 1055713
Kentucky MEDICAID 2136898
Kentucky MEDICAID 00G820990

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