Mcgovern, Leslie Jean

Mcgovern, Leslie Jean is an individual health care provider with primary practice located at 777 Hospital Way , Pocatello ID 83201-5175. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Mcgovern, Leslie Jean can be contacted via phone (480) 421-9700.

Contact Information

Primary practice address
777 Hospital Way Pocatello ID 83201-5175
Phone: (480) 421-9700
Fax: (480) 421-9899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA868 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA868 Idaho

Profile Details

NPI number 1831184712
LBN Legal business name Mcgovern, Leslie Jean
Credentials PA-C, MHE, ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Jul 19th, 2011 - about 15 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 1831184712 NPPES
Idaho MEDICAID 1831184712
Idaho Other P00902985

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