Provider Demographics
NPI:1427059633
Name:BURNS, LESLIE BROOK (DC)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:BROOK
Last Name:BURNS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ROBINSON PLZ
Mailing Address - Street 2:SUITE 320
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-1024
Mailing Address - Country:US
Mailing Address - Phone:412-706-7129
Mailing Address - Fax:412-706-7130
Practice Address - Street 1:3 ROBINSON PLZ
Practice Address - Street 2:SUITE 320
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-1024
Practice Address - Country:US
Practice Address - Phone:412-706-7129
Practice Address - Fax:412-706-7130
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2009-07-10
Deactivation Date:2006-04-11
Deactivation Code:
Reactivation Date:2006-04-19
Provider Licenses
StateLicense IDTaxonomies
OH3595111N00000X
PADC009334111N00000X
WV824111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
V04756Medicare UPIN
OHBU4156431Medicare PIN