Squires, Leslie

Squires, Leslie is an individual health care provider with primary practice located at 218C Sunset Rd , Willingboro NJ 08046-1104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Squires, Leslie can be contacted via phone (609) 877-0400.

Contact Information

Primary practice address
218C Sunset Rd Willingboro NJ 08046-1104
Fax: (609) 877-1682
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA051578 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD027380E Pennsylvania

Profile Details

NPI number 1790885457
LBN Legal business name Squires, Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Oct 18th, 2010 - about 14 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 1790885457 NPPES
New Jersey MEDICAID 2416808
New Jersey Other 42468
New Jersey Other P3638017
New Jersey Other 00100780100
New Jersey Other 0085744000
New Jersey Other 1079899
New Jersey Other 1263031
New Jersey Other 3K5919
New Jersey Other 2278599
New Jersey Other 60019242

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