Carroll, Leslie Seton

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

Contact Information

Primary practice address
3401 N Broad Street Philadelphia PA 19140
Phone: (215) 707-5030
Fax: (215) 707-3494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD047801L Pennsylvania

Profile Details

NPI number 1417926445
LBN Legal business name Carroll, Leslie Seton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1417926445 NPPES
Pennsylvania Other 0572020000 INDEPENDENCE BC
Pennsylvania Other 729722 INDEPENDENCE BC
Pennsylvania MEDICAID 0013974850005 INDEPENDENCE BC

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