Slater, Leigh Ann
Slater, Leigh Ann is an individual health care provider with primary practice located at 1165 Montgomery Dr , Santa Rosa CA 95405-4897. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Slater, Leigh Ann can be contacted via phone (707) 230-1534.Contact Information
Primary practice address
1165 Montgomery Dr
Santa Rosa CA 95405-4897
Phone: (707) 230-1534
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 134762 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D74206 | Maryland |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | D74206 | Maryland |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD2015-0146 | New Mexico |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | CS00221453 | New Mexico |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | D74206 | Maryland |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 134762 | California |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 134762 | California |
Profile Details
| NPI number | 1356546774 |
|---|---|
| LBN Legal business name | Slater, Leigh Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2007 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356546774 | NPPES |
| Maryland | MEDICAID | 055296800 |
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