Shock, Leslie

Shock, Leslie is an individual health care provider with primary practice located at 3220 Bluff Creek Dr , Columbia MO 65201-3663. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Shock, Leslie can be contacted via phone (573) 224-8200.

Contact Information

Primary practice address
3220 Bluff Creek Dr Columbia MO 65201-3663
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 2016017558 Missouri

Profile Details

NPI number 1649628439
LBN Legal business name Shock, Leslie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2016
Last updated Apr 3rd, 2023 - about 2 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 1649628439 NPPES
Other 1053046888 ORGANIZATION NPI

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