Nishimi, Leslie N.

Nishimi, Leslie N. is an individual health care provider with primary practice located at 77 W. Forest Avenue Suite 101, Flagstaff AZ 86001-1482. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Nishimi, Leslie N. can be contacted via phone (928) 773-2515.

Contact Information

Primary practice address
77 W. Forest Avenue Suite 101 Flagstaff AZ 86001-1482
Fax: (928) 773-2240
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 23775 Arizona

Profile Details

NPI number 1285689661
LBN Legal business name Nishimi, Leslie N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Apr 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285689661 NPPES
Arizona MEDICAID 343674

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