Shaw, Leslie S

Shaw, Leslie S is an individual health care provider with primary practice located at 360 Route 73 S , Marlton NJ 08053-2004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shaw, Leslie S can be contacted via phone (856) 596-7010.

Contact Information

Primary practice address
360 Route 73 S Marlton NJ 08053-2004
Phone: (856) 596-7010
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00345100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP016443 Pennsylvania

Profile Details

NPI number 1720360746
LBN Legal business name Shaw, Leslie S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2011
Last updated Nov 14th, 2016 - about 9 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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