Gregory, Leslie

Gregory, Leslie is an sole proprietor health care provider with primary practice located at 499 W Boundry 275 W. Main, Kansas OK 74347-1662. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gregory, Leslie can be contacted via phone (918) 868-2567.

Contact Information

Primary practice address
499 W Boundry 275 W. Main Kansas OK 74347-1662
Fax: (918) 868-5584
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2960 Oklahoma

Profile Details

NPI number 1265813695
LBN Legal business name Gregory, Leslie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2015
Last updated Jun 11th, 2015 - about 11 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 1265813695 NPPES
Oklahoma MEDICAID 100680100A

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