Sackschewsky, Leslie D

Sackschewsky, Leslie D is an individual health care provider with primary practice located at 999 S Fairmont Ave Suite 200, Lodi CA 95240. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Sackschewsky, Leslie D can be contacted via phone (209) 334-3333.

Contact Information

Primary practice address
999 S Fairmont Ave Suite 200 Lodi CA 95240
Phone: (209) 334-3333
Fax: (209) 369-2641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G79025 California

Profile Details

NPI number 1558396770
LBN Legal business name Sackschewsky, Leslie D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Nov 18th, 2010 - about 16 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 1558396770 NPPES
California MEDICAID GR0022330

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