Treece, Leslie Mooney
Treece, Leslie Mooney is an sole proprietor health care provider with primary practice located at 150 N Willow Ave , Cookeville TN 38501-2368. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Treece, Leslie Mooney can be contacted via phone (931) 528-1485.Contact Information
Primary practice address
150 N Willow Ave
Cookeville TN 38501-2368
Phone: (931) 528-1485
Fax: (931) 526-4233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34866 | Tennessee |
Profile Details
| NPI number | 1609835644 |
|---|---|
| LBN Legal business name | Treece, Leslie Mooney |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Mar 22nd, 2011 - about 13 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 | 1609835644 | NPPES |
| Tennessee | MEDICAID | 5440738 | |
| Tennessee | Other | 4100526 | |
| Tennessee | MEDICAID | 1517710 | |
| Tennessee | Other | 1538173471 |
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