Andrews, Leslie J
Andrews, Leslie J is an individual health care provider with primary practice located at 824 Pine St , Mount Shasta CA 96067-2137. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Andrews, Leslie J can be contacted via phone (530) 926-4528.Contact Information
Primary practice address
824 Pine St
Mount Shasta CA 96067-2137
Phone: (530) 926-4528
Fax: (530) 926-5070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G51253 | California |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | G51253 | California |
Profile Details
| NPI number | 1104810712 |
|---|---|
| LBN Legal business name | Andrews, Leslie J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Sep 19th, 2013 - about 13 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 | 1104810712 | NPPES |
| California | MEDICAID | 00G512530 | |
| California | Other | 160037397 |
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