Leslie, Wendy J
Leslie, Wendy J is an sole proprietor health care provider with primary practice located at 113 Corporation St , Hyannis MA 02601-2204. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Leslie, Wendy J can be contacted via phone (508) 778-9473.Contact Information
Primary practice address
113 Corporation St
Hyannis MA 02601-2204
Phone: (508) 778-9473
Fax: (508) 775-5913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2495 | Massachusetts |
Profile Details
| NPI number | 1255307930 |
|---|---|
| LBN Legal business name | Leslie, Wendy J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Dec 17th, 2009 - about 15 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 | 1255307930 | NPPES |
| Massachusetts | Other | 000000031920 | BMC HEALTHNET |
| Massachusetts | MEDICAID | 0343404 | BMC HEALTHNET |
| Massachusetts | Other | 779637 | BMC HEALTHNET |
| Massachusetts | Other | 150674 | BMC HEALTHNET |
| Massachusetts | Other | W16120 | BMC HEALTHNET |
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