Bajuscak, Leslie Diane

Bajuscak, Leslie Diane is an individual health care provider with primary practice located at 515 W Buckeye Rd Suite 106, Phoenix AZ 85003-2647. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Bajuscak, Leslie Diane can be contacted via phone (602) 258-0298.

Contact Information

Primary practice address
515 W Buckeye Rd Suite 106 Phoenix AZ 85003-2647
Phone: (602) 258-0298
Fax: (602) 254-8401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 9275 North Carolina
Speech, Language and Hearing Service Providers / Audiologist 231H00000X DA4099 Arizona

Profile Details

NPI number 1912039942
LBN Legal business name Bajuscak, Leslie Diane
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Feb 7th, 2013 - 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 1912039942 NPPES
Arizona Other 86-0783428 TAX-ID

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