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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023116290 | NPPES |
| California | Other | 11186109 | KAISER |
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