Earll, Leslie Anne

Earll, Leslie Anne is an individual health care provider with primary practice located at 7555 Waterloo Rd , Jessup MD 20794-9783. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Earll, Leslie Anne can be contacted via phone (443) 204-6914.

Contact Information

Primary practice address
7555 Waterloo Rd Jessup MD 20794-9783
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D0043445 Maryland

Profile Details

NPI number 1144272915
LBN Legal business name Earll, Leslie Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 7th, 2023 - about last year

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 1144272915 NPPES
Maryland Other D0043445 STATE LICENSE

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