Raiford, Leslie S

Raiford, Leslie S is an individual health care provider with primary practice located at 101C Woodmark St , Orange VA 22960-1246. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Raiford, Leslie S can be contacted via phone (540) 672-0793.

Contact Information

Primary practice address
101C Woodmark St Orange VA 22960-1246
Fax: (540) 672-3531
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 0024165444 Virginia

Profile Details

NPI number 1295731883
LBN Legal business name Raiford, Leslie S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Mar 6th, 2019 - about 6 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 1295731883 NPPES
Virginia MEDICAID 007794410
Virginia MEDICAID 12957318

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