Leppert, Mary L

Leppert, Mary L is an individual health care provider with primary practice located at 707 N Broadway , Baltimore MD 21205-1832. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Leppert, Mary L can be contacted via phone (443) 923-9200.

Contact Information

Primary practice address
707 N Broadway Baltimore MD 21205-1832
Fax: (443) 923-9405
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X D41387 Maryland

Profile Details

NPI number 1720136344
LBN Legal business name Leppert, Mary L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
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 1720136344 NPPES
Maryland Other 54337201 CAREFIRST BC BS
Maryland MEDICAID 370011900 CAREFIRST BC BS

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