Smoluch, Leslie P
Smoluch, Leslie P is an sole proprietor health care provider with primary practice located at 1110 N 18Th St Suite 3, Springfield OR 97477-4200. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Smoluch, Leslie P can be contacted via phone (541) 726-6447.Contact Information
Primary practice address
1110 N 18Th St Suite 3
Springfield OR 97477-4200
Phone: (541) 726-6447
Fax: (541) 726-7704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD10512 | Oregon |
Profile Details
| NPI number | 1891730768 |
|---|---|
| LBN Legal business name | Smoluch, Leslie P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1891730768 | NPPES |
| Oregon | MEDICAID | 184465 |
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