Miller, Leslie Lynn

Miller, Leslie Lynn is an individual health care provider with primary practice located at 325 N Lafayette Blvd , South Bend IN 46601-1208. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Miller, Leslie Lynn can be contacted via phone (574) 647-2100.

Contact Information

Primary practice address
325 N Lafayette Blvd South Bend IN 46601-1208
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 28141521A Indiana

Profile Details

NPI number 1093975526
LBN Legal business name Miller, Leslie Lynn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2008
Last updated Jun 9th, 2008 - about 16 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 1093975526 NPPES
Indiana MEDICAID 200424820

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