Adibe, Lesley N

Adibe, Lesley N is an individual health care provider with primary practice located at 1907 W Sycamore St , Kokomo IN 46901-5148. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Adibe, Lesley N can be contacted via phone (765) 456-5433.

Contact Information

Primary practice address
1907 W Sycamore St Kokomo IN 46901-5148
Phone: (765) 456-5433
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01055301 Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01055301A Indiana

Profile Details

NPI number 1285775734
LBN Legal business name Adibe, Lesley N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Nov 17th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285775734 NPPES
Indiana Other 000000231407 ANTHEM BCBS
Indiana MEDICAID 200395990 ANTHEM BCBS

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