Rush, Leslie Vaughan

Rush, Leslie Vaughan is an individual health care provider with primary practice located at 341 Greeno Rd N , Fairhope AL 36532-2979. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Rush, Leslie Vaughan can be contacted via phone (251) 928-2401.

Contact Information

Primary practice address
341 Greeno Rd N Fairhope AL 36532-2979
Phone: (251) 928-2401
Fax: (251) 928-5099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X DO.562 Alabama
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X PM.1241 Alabama

Profile Details

NPI number 1518935881
LBN Legal business name Rush, Leslie Vaughan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Aug 17th, 2023 - about 2 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 1518935881 NPPES
Alabama MEDICAID 285140

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