Gimenez, Leslie M

Gimenez, Leslie M is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Allergy And Immunology, Milwaukee WI 53226-4874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Gimenez, Leslie M can be contacted via phone (414) 266-6840.

Contact Information

Primary practice address
9000 W Wisconsin Ave Allergy And Immunology Milwaukee WI 53226-4874
Fax: (414) 266-6437
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 39048 Wisconsin

Profile Details

NPI number 1194776971
LBN Legal business name Gimenez, Leslie M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Mar 1st, 2024 - about 2 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 1194776971 NPPES
Other 004000215M HUMANA
MEDICAID 1194776971 HUMANA

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