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
Phone: (573) 224-8200
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649628439 | NPPES |
Other | 1053046888 | ORGANIZATION NPI |
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