Long, Lesle D.
Long, Lesle D. is an individual health care provider with primary practice located at 89A Sonia Dr , Greer SC 29650-4540. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Long, Lesle D. can be contacted via phone (864) 530-0300.Contact Information
Primary practice address
89A Sonia Dr
Greer SC 29650-4540
Phone: (864) 530-0300
Fax: (864) 530-0304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 17555 | South Carolina |
Profile Details
| NPI number | 1528045069 |
|---|---|
| LBN Legal business name | Long, Lesle D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Apr 30th, 2013 - about 11 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 | 1528045069 | NPPES |
| South Carolina | MEDICAID | 140181 | |
| South Carolina | MEDICAID | 175553 |
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