Rohan, Mary Leslie

Rohan, Mary Leslie is an individual health care provider with primary practice located at 1128 University Cir Student Service Center 190, Ogden UT 84408-1128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rohan, Mary Leslie can be contacted via phone (801) 626-6459.

Contact Information

Primary practice address
1128 University Cir Student Service Center 190 Ogden UT 84408-1128
Phone: (801) 626-6459
Fax: (801) 626-7786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2244504405 Utah

Profile Details

NPI number 1770747941
LBN Legal business name Rohan, Mary Leslie
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2008
Last updated Jul 2nd, 2010 - about 16 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 1770747941 NPPES
Utah MEDICAID 876000308011
Utah MEDICAID 32481
Utah MEDICAID 998877666002

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