Scott, Leslie Dawn

Scott, Leslie Dawn is an individual health care provider with primary practice located at 161 Mitchell Blvd Ste 101 , San Rafael CA 94903-2068. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Scott, Leslie Dawn can be contacted via phone (415) 507-2815.

Contact Information

Primary practice address
161 Mitchell Blvd Ste 101 San Rafael CA 94903-2068
Phone: (415) 507-2815
Fax: (415) 473-2353
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1023116290
LBN Legal business name Scott, Leslie Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 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 1023116290 NPPES
California Other 11186109 KAISER

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