Jenkins, Leslie C.

Jenkins, Leslie C. is an individual health care provider with primary practice located at 503 N Maple St Ste 300, Effingham IL 62401-2006. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant, which is considered as his primary health care specialty. Jenkins, Leslie C. can be contacted via phone (217) 340-1340.

Contact Information

Primary practice address
503 N Maple St Ste 300 Effingham IL 62401-2006
Phone: (217) 340-1340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant 243U00000X

Profile Details

NPI number 1639206576
LBN Legal business name Jenkins, Leslie C.
Credentials ARRT, RPA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated May 6th, 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 1639206576 NPPES
Colorado MEDICAID 04004826

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