Macauley, Leslie Greene

Macauley, Leslie Greene is an sole proprietor health care provider with primary practice located at 4970 Northwind Dr , East Lansing MI 48823-5080. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Macauley, Leslie Greene can be contacted via phone (989) 345-1000.

Contact Information

Primary practice address
4970 Northwind Dr East Lansing MI 48823-5080
Fax: (989) 345-5803
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 4301062299 Michigan

Profile Details

NPI number 1902981103
LBN Legal business name Macauley, Leslie Greene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 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 1902981103 NPPES
Michigan MEDICAID 4455930

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