Blendowski, Leigh Ann
Blendowski, Leigh Ann is an individual health care provider with primary practice located at 3555 Harden Street Ext Ste 141 , Columbia SC 29203-6894. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Blendowski, Leigh Ann can be contacted via phone (803) 434-4300.Contact Information
Primary practice address
3555 Harden Street Ext Ste 141
Columbia SC 29203-6894
Phone: (803) 434-4300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 219948 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 23247 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 23247 | South Carolina |
Profile Details
| NPI number | 1104275148 |
|---|---|
| LBN Legal business name | Blendowski, Leigh Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2016 |
| Last updated | May 3rd, 2021 - about 5 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 | 1104275148 | NPPES |
| South Carolina | Other | SCG209A634 | MEDICARE PART B |
| South Carolina | MEDICAID | NP6273 | MEDICARE PART B |
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