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:
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Health care specialties

SpecialtyCodeLicense #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 4 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 1104275148 NPPES
South Carolina Other SCG209A634 MEDICARE PART B
South Carolina MEDICAID NP6273 MEDICARE PART B

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