Vensel, Leslie A
Vensel, Leslie A is an individual health care provider with primary practice located at 40 2Nd Ave Suite 400, Waltham MA 02451-1132. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vensel, Leslie A can be contacted via phone (781) 487-4350.Contact Information
Primary practice address
40 2Nd Ave Suite 400
Waltham MA 02451-1132
Phone: (781) 487-4350
Fax: (781) 487-4351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 57348 | Massachusetts |
Profile Details
| NPI number | 1336139021 |
|---|---|
| LBN Legal business name | Vensel, Leslie A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jun 3rd, 2014 - about 10 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 | 1336139021 | NPPES |
| Massachusetts | MEDICAID | 3054799 | |
| Massachusetts | Other | 713954 | |
| Massachusetts | Other | J09081 |
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