Leslie, M Russell

Leslie, M Russell is an individual health care provider with primary practice located at 1030 Broadview Blvd , Brackenridge PA 15014-1118. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Leslie, M Russell can be contacted via phone (724) 224-8700.

Contact Information

Primary practice address
1030 Broadview Blvd Brackenridge PA 15014-1118
Fax: (724) 224-8139
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD028904L Pennsylvania

Profile Details

NPI number 1437141959
LBN Legal business name Leslie, M Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Feb 15th, 2008 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437141959 NPPES
Pennsylvania Other MD028904L MEDICAL LICENSE

Popular Providers