Vidal, Leslie B
Vidal, Leslie B is an individual health care provider with primary practice located at 181 W Meadow Dr Ste 400 , Vail CO 81657-5058. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Vidal, Leslie B can be contacted via phone (970) 476-1100.Contact Information
Primary practice address
181 W Meadow Dr Ste 400
Vail CO 81657-5058
Phone: (970) 476-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 43543 | Colorado |
Profile Details
| NPI number | 1538251574 |
|---|---|
| LBN Legal business name | Vidal, Leslie B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Mar 13th, 2020 - about 4 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 | 1538251574 | NPPES |
| Colorado | MEDICAID | 26925729 |
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