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Contact Information

LESILE J MENTELE
6100 NW 97TH ST
JOHNSTON, IA50131
 Phone: 515-986-5250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for LESILE J MENTELE · (Female)

NPI # 1205105855
Status Active
Credentials
Entity Individual
Enumeration date 12/27/2011
Last updated 12/27/2011 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 19984
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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