Wooldridge, Leslie S

Wooldridge, Leslie S is an individual health care provider with primary practice located at 6401 Prairie St Suite 1700, Norton Shores MI 49444-7840. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wooldridge, Leslie S can be contacted via phone (231) 727-7944.

Contact Information

Primary practice address
6401 Prairie St Suite 1700 Norton Shores MI 49444-7840
Phone: (231) 727-7944
Fax: (231) 724-7812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704099434 Michigan

Profile Details

NPI number 1144264821
LBN Legal business name Wooldridge, Leslie S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Dec 4th, 2012 - about 12 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 1144264821 NPPES
Michigan MEDICAID 4837110
Michigan Other MI1763011

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