Leake, Marsha

Leake, Marsha is an sole proprietor health care provider with primary practice located at 5724 Stage Rd Ste F , Bartlett TN 38134-4572. She recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as her primary health care specialty. Leake, Marsha can be contacted via phone (901) 383-0417.

Contact Information

Primary practice address
5724 Stage Rd Ste F Bartlett TN 38134-4572
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1407366362
LBN Legal business name Leake, Marsha
Credentials VICE PRESIDENT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2017
Last updated Oct 5th, 2017 - about 7 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 1407366362 NPPES
Other 0000000000000 INDIVIDUAL

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