Le, Marissa Mcnelly
Le, Marissa Mcnelly is an individual health care provider with primary practice located at 1301 E Northland Ave Ste B , Appleton WI 54911-8582. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Le, Marissa Mcnelly can be contacted via phone (207) 311-9999.Contact Information
Primary practice address
1301 E Northland Ave Ste B
Appleton WI 54911-8582
Phone: (207) 311-9999
Fax: (920) 731-3729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 41000316A | Indiana |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 1099-25 | Wisconsin |
Profile Details
| NPI number | 1295149391 |
|---|---|
| LBN Legal business name | Le, Marissa Mcnelly |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2014 |
| Last updated | Jul 23rd, 2021 - about 5 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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