Havrilak, Leslie Annette

Havrilak, Leslie Annette is an individual health care provider with primary practice located at 4521 Thomas Jefferson St , Caldwell ID 83605-5100. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Havrilak, Leslie Annette can be contacted via phone (208) 454-4820.

Contact Information

Primary practice address
4521 Thomas Jefferson St Caldwell ID 83605-5100
Phone: (208) 454-4820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 58087 Idaho

Profile Details

NPI number 1164045274
LBN Legal business name Havrilak, Leslie Annette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2020
Last updated May 22nd, 2020 - about 6 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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