Quispe Leveau, Marco

Quispe Leveau, Marco is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Medicine, Shreveport LA 71103-4228. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Quispe Leveau, Marco can be contacted via phone (318) 675-5000.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Medicine Shreveport LA 71103-4228
Phone: (318) 675-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.206784 Louisiana
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD.206784 Louisiana

Profile Details

NPI number 1013107614
LBN Legal business name Quispe Leveau, Marco
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Oct 9th, 2014 - about 12 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 1013107614 NPPES
Louisiana MEDICAID 1509761

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