Panus, Leslie Weylon
Panus, Leslie Weylon is an individual health care provider with primary practice located at 107 Woodlawn Dr , Johnson City TN 37604-5978. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Panus, Leslie Weylon can be contacted via phone (423) 929-7168.Contact Information
Primary practice address
107 Woodlawn Dr
Johnson City TN 37604-5978
Phone: (423) 929-7168
Fax: (423) 928-9625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD27541 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD27541 | Tennessee |
Profile Details
| NPI number | 1063416089 |
|---|---|
| LBN Legal business name | Panus, Leslie Weylon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Dec 30th, 2009 - about 15 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 | 1063416089 | NPPES |
| Tennessee | MEDICAID | 3098628 |
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