Mcgovern, Leslie Jean
Mcgovern, Leslie Jean is an individual health care provider with primary practice located at 777 Hospital Way , Pocatello ID 83201-5175. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Mcgovern, Leslie Jean can be contacted via phone (480) 421-9700.Contact Information
Primary practice address
777 Hospital Way
Pocatello ID 83201-5175
Phone: (480) 421-9700
Fax: (480) 421-9899
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | ||
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA868 | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA868 | Idaho |
Profile Details
NPI number | 1831184712 |
---|---|
LBN Legal business name | Mcgovern, Leslie Jean |
Credentials | PA-C, MHE, ATC, LAT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 15th, 2005 |
Last updated | Jul 19th, 2011 - about 14 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 | 1831184712 | NPPES |
Idaho | MEDICAID | 1831184712 | |
Idaho | Other | P00902985 |
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