Marshall, Leslie Patricia

Marshall, Leslie Patricia is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Marshall, Leslie Patricia can be contacted via phone (215) 707-5030.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5103
Phone: (215) 707-5030
Fax: (215) 707-3494
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34673 North Carolina

Profile Details

NPI number 1114906880
LBN Legal business name Marshall, Leslie Patricia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Mar 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114906880 NPPES
Other 54101 BLUE CROSS BLUE SHIELD
MEDICAID 8954101 BLUE CROSS BLUE SHIELD

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