Robinson-Bostom, Leslie
Robinson-Bostom, Leslie is an individual health care provider with primary practice located at 593 Eddy St Apc 10, Providence RI 02903-4923. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Robinson-Bostom, Leslie can be contacted via phone (401) 444-7959.Contact Information
Primary practice address
593 Eddy St Apc 10
Providence RI 02903-4923
Phone: (401) 444-7959
Fax: (401) 444-7144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | MD8906 | Rhode Island |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD8906 | Rhode Island |
Profile Details
| NPI number | 1154368454 |
|---|---|
| LBN Legal business name | Robinson-Bostom, Leslie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jul 10th, 2007 - about 19 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 | 1154368454 | NPPES |
| Rhode Island | MEDICAID | 9025124 |
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