Leftick, Marven
Leftick, Marven is an individual health care provider with primary practice located at 407 East Ave. Suite 250, Pawtucket RI 02860. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Leftick, Marven can be contacted via phone (401) 351-2280.Contact Information
Primary practice address
407 East Ave. Suite 250
Pawtucket RI 02860
Phone: (401) 351-2280
Fax: (401) 721-5709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD10172 | Rhode Island |
Profile Details
| NPI number | 1396720918 |
|---|---|
| LBN Legal business name | Leftick, Marven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Sep 23rd, 2013 - about 13 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 | 1396720918 | NPPES |
| Rhode Island | MEDICAID | 7007422 |
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