TAMMY JO LESLIE (NPI# 1588049878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588049878 |
Entity Type | Individual |
Full Name | TAMMY JO LESLIE |
Practice Address |
4118 Lincoln Rd Standish MI 48658-9432 |
Practice Telephone | 9893599472 |
Mailing Telephone | 9893599472 |
Enumeration Date | 2015-07-28 |
Last Update Date | 2015-07-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 171WH0202X |
Contractor Specialization: Home Modifications |
171WH0202X | MI | Other Service Providers |
Y | 171WH0202X |
Contractor Specialization: Home Modifications |
L240785420610 | MI | Other Service Providers |
Street Address |
4118 LINCOLN RD |
City | STANDISH |
State | MI |
Zip Code | 48658-9432 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972136810 | Gregory John Haven | Behavioral Analyst | 2737 Deep River Road, Standish, MI 48658 | 2020-02-19 |
1568797579 | Mallori Ann Dzurka | Dietitian, Registered | 805 W. Cedar, Standish, MI 48658 | 2009-10-08 |
1548497399 | St. Mary's of Michigan | General Acute Care Hospital | 805 West Cedar, Standish, MI 48658 | 2009-06-19 |
1043479801 | Jeffrey S. Kimball, D.c. | Chiropractor | 401 E. Cedar St., Standish, MICHIGAN 48658 | 2008-06-06 |
1356549414 | Benjamin E Brummer | Dentist | 116 N Main, Standish, MI 48658 | 2007-07-10 |
1568580272 | Muhammed R Mirza Md | Internal Medicine | 805 W Cedar Street, Standish, MI 48658 | 2007-03-27 |
1619020856 | Bay Human Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 125 S Forest Street, Standish, MI 48658 | 2007-01-19 |
1659480457 | Standish Rehabilitation Center Inc | Physical Medicine & Rehabilitation | 529 S Main St, Suite G, Standish, MI 48658 | 2006-08-29 |
1437690419 | James Spegel | Social Worker | 1000 W Cedar St, Standish, MI 48658 | 2017-03-10 |
1548528086 | Stacey Anne Williamson | Nurse Practitioner | 805 W Cedar St, Standish, MI 48658 | 2012-05-02 |
Find all providers in zip 48658 |
Taxonomy Code | 171WH0202X |
Grouping | Other Service Providers |
Classification | Contractor |
Specialization | Home Modifications |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588229702 | Joshua Richter | Contractor | 8630 Flat Creek Dr Unit G, Rockford, MI 49341-8950 | 2019-05-02 |
1588227003 | Community Renovations Inc. | Contractor | 9505 Groh Rd., Suite 240, Grosse Ile, MI 48138 | 2019-04-19 |
1851822167 | Maplelakebuilders | Contractor | 508 N Kalamazoo St, Same, Paw Paw, MI 49079-1130 | 2017-03-27 |
1750828307 | Casavalle Inc | Contractor | 3185 Union Lake Rd, Commerce Township, MI 48382-4547 | 2017-01-20 |
1942757653 | Barry Mol | Contractor | 407 Woods Edge Dr, Hastings, MI 49058-7654 | 2016-09-10 |
1700243128 | Olea Hokes | Contractor | 6990 Canyon Dr, Romulus, MI 48174-5012 | 2016-01-16 |
1073986725 | Taccara Mcclain | Contractor | 28242 Green Willow St, Farmington Hills, MI 48331-2753 | 2015-11-03 |
1275904583 | Denarol Cunningham | Contractor | 7248 Vaughan, Detroit, MI 48228 | 2015-10-13 |
1851761746 | Darshay Patterson | Contractor | 1101 W Warren Ave Apt 417, Detroit, MI 48201-3616 | 2015-10-05 |
1508234626 | Audrey Allen | Contractor | 11724 Greenfield Rd, Detroit, MI 48227-4310 | 2015-09-05 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.