Rosenblatt-Brown, Leslie
Rosenblatt-Brown, Leslie is an individual health care provider with primary practice located at 1275 Highway 54 W Suite 201, Fayetteville GA 30214-4549. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rosenblatt-Brown, Leslie can be contacted via phone (770) 461-3776.Contact Information
Primary practice address
1275 Highway 54 W Suite 201
Fayetteville GA 30214-4549
Phone: (770) 461-3776
Fax: (770) 461-3565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3987 | Georgia |
Profile Details
| NPI number | 1801906474 |
|---|---|
| LBN Legal business name | Rosenblatt-Brown, Leslie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Sep 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801906474 | NPPES |
| Georgia | Other | 10033138 | AMERIGROUP |
| Georgia | Other | 319981 | AMERIGROUP |
| Georgia | MEDICAID | 451479533A | AMERIGROUP |
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