Leis, Sherman Nelson

Leis, Sherman Nelson is an individual health care provider with primary practice located at 19 Montgomery Ave , Bala Cynwyd PA 19004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Leis, Sherman Nelson can be contacted via phone (610) 667-1888.

Contact Information

Primary practice address
19 Montgomery Ave Bala Cynwyd PA 19004
Fax: (610) 664-3182
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X OS002485L Pennsylvania

Profile Details

NPI number 1538250923
LBN Legal business name Leis, Sherman Nelson
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538250923 NPPES
Pennsylvania MEDICAID 0060366

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