Quispe Leveau, Marco
Quispe Leveau, Marco is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Medicine, Shreveport LA 71103-4228. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Quispe Leveau, Marco can be contacted via phone (318) 675-5000.Contact Information
Primary practice address
1501 Kings Hwy Department Of Medicine
Shreveport LA 71103-4228
Phone: (318) 675-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD.206784 | Louisiana |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MD.206784 | Louisiana |
Profile Details
NPI number | 1013107614 |
---|---|
LBN Legal business name | Quispe Leveau, Marco |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 30th, 2007 |
Last updated | Oct 9th, 2014 - about 10 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 | 1013107614 | NPPES |
Louisiana | MEDICAID | 1509761 |
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