Badillo, Leslie E

Badillo, Leslie E is an individual health care provider with primary practice located at 205 Roanoke St , Christiansburg VA 24073-3025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Badillo, Leslie E can be contacted via phone (540) 381-6000.

Contact Information

Primary practice address
205 Roanoke St Christiansburg VA 24073-3025
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101-039182 Virginia

Profile Details

NPI number 1083696785
LBN Legal business name Badillo, Leslie E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Aug 11th, 2011 - about 15 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 1083696785 NPPES
Virginia MEDICAID 010029007
Virginia MEDICAID 005601096

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