Shawn, Leslie G
Shawn, Leslie G is an sole proprietor health care provider with primary practice located at 400 North Hiatus Road Suite 201, Pembroke Pines FL 33026. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Shawn, Leslie G can be contacted via phone (954) 442-3434.Contact Information
Primary practice address
400 North Hiatus Road Suite 201
Pembroke Pines FL 33026
Phone: (954) 442-3434
Fax: (954) 441-4425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0003957 | Florida |
Profile Details
| NPI number | 1922057009 |
|---|---|
| LBN Legal business name | Shawn, Leslie G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2006 |
| Last updated | Nov 23rd, 2009 - about 15 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 | 1922057009 | NPPES |
| Florida | MEDICAID | 0378046-00 |
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