Jones, Edward Leslie
Jones, Edward Leslie is an sole proprietor health care provider with primary practice located at 55 Susquehannock Trl , Athens PA 18810-9701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jones, Edward Leslie can be contacted via phone (570) 423-0008.Contact Information
Primary practice address
55 Susquehannock Trl
Athens PA 18810-9701
Phone: (570) 423-0008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 115759-1 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD011609E | Pennsylvania |
Profile Details
| NPI number | 1356310106 |
|---|---|
| LBN Legal business name | Jones, Edward Leslie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Feb 27th, 2025 - about last year |
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 | 1356310106 | NPPES |
| Pennsylvania | Other | CC9269 | RR MEDICARE GROUP |
| Pennsylvania | Other | 080159964 | RR MEDICARE GROUP |
| Pennsylvania | Other | GU039830 | RR MEDICARE GROUP |
| Pennsylvania | MEDICAID | 0009248160001 | RR MEDICARE GROUP |
| Pennsylvania | MEDICAID | 00793980 | RR MEDICARE GROUP |
Popular Providers
-
Zant, Walter Daniel
1820 Bethany Rd , Madison GA 30650-4701 -
Thakur, Vishal Singh
412 S Main St , Athens PA 18810-1618 -
Cundari, Alan David
795 E. Second Street Suite 5, Pomona CA 91766-2007 -
Porvaznik, Mary Catherine
1501 S Yale St Ste 2 , Flagstaff AZ 86001-7304 -
Desmond, Brian
220 S Palisade Dr Suite 104, Santa Maria CA 93454-8902 -
Meikle, Robert W
412 S Main St , Athens PA 18810-1618 -
Shank, John Stephen
350 Fairview Heights Rd , Summersville WV 26651 -
Kim, Peter
901 Shelby St , Indianapolis IN 46203-1151