Wiersum, Leslie

Wiersum, Leslie is an individual health care provider with primary practice located at 12033 Se 256Th Street , Kent WA 98030. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wiersum, Leslie can be contacted via phone (253) 373-7000.

Contact Information

Primary practice address
12033 Se 256Th Street Kent WA 98030
Phone: (253) 373-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OT60174905 Washington

Profile Details

NPI number 1598018269
LBN Legal business name Wiersum, Leslie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2012
Last updated Oct 18th, 2012 - about 14 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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