Wilke, Leslie D

Wilke, Leslie D is an individual health care provider with primary practice located at 9150 Medcom St. Ste B , N Charleston SC 29406. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Wilke, Leslie D can be contacted via phone (843) 871-4006.

Contact Information

Primary practice address
9150 Medcom St. Ste B N Charleston SC 29406
Phone: (843) 871-4006
Fax: (843) 871-4074
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO36663 South Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X DO36663 South Carolina
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X DO36663 South Carolina
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X DO36663 South Carolina

Profile Details

NPI number 1548460744
LBN Legal business name Wilke, Leslie D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Jun 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548460744 NPPES
South Carolina MEDICAID 366632

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