Hellenga, Leslie James

Hellenga, Leslie James is an individual health care provider with primary practice located at 1301 Taylor St , Columbia SC 29201-2942. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Hellenga, Leslie James can be contacted via phone (803) 296-5914.

Contact Information

Primary practice address
1301 Taylor St Columbia SC 29201-2942
Phone: (803) 296-5914
Fax: (803) 596-5902
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 18489 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 18489 South Carolina

Profile Details

NPI number 1609206630
LBN Legal business name Hellenga, Leslie James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2013
Last updated Jan 18th, 2023 - about 3 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 1609206630 NPPES
South Carolina MEDICAID NP2745

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