Headley, Lenea Ola
Headley, Lenea Ola is an individual health care provider with primary practice located at 3355 Riverbend Dr Ste 240, Springfield OR 97477-8800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Headley, Lenea Ola can be contacted via phone (541) 687-1712.Contact Information
Primary practice address
3355 Riverbend Dr Ste 240
Springfield OR 97477-8800
Phone: (541) 687-1712
Fax: (541) 687-7943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0010-01511 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA161723 | Oregon |
Profile Details
| NPI number | 1770735292 |
|---|---|
| LBN Legal business name | Headley, Lenea Ola |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2008 |
| Last updated | Aug 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770735292 | NPPES |
| Oregon | MEDICAID | 500658029 |
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