Johnson, Leslie Martin
Johnson, Leslie Martin is an sole proprietor health care provider with primary practice located at 604 Buckshot Ct , Statesboro GA 30461-4496. 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. Johnson, Leslie Martin can be contacted via phone (912) 764-7833.Contact Information
Primary practice address
604 Buckshot Ct
Statesboro GA 30461-4496
Phone: (912) 764-7833
Fax: (912) 764-7833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP002048 | Georgia |
Profile Details
| NPI number | 1265449789 |
|---|---|
| LBN Legal business name | Johnson, Leslie Martin |
| Credentials | M.S, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1265449789 | NPPES |
| Georgia | MEDICAID | 000885497A |
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