Leach, Kathi
Leach, Kathi is an sole proprietor health care provider with primary practice located at 412 3Rd St , Mosinee WI 54455-1425. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Leach, Kathi can be contacted via phone (715) 693-2400.Contact Information
Primary practice address
412 3Rd St
Mosinee WI 54455-1425
Phone: (715) 693-2400
Fax: (715) 693-4699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1677-035 | Wisconsin |
Profile Details
| NPI number | 1033157953 |
|---|---|
| LBN Legal business name | Leach, Kathi |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | May 4th, 2010 - about 16 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 | 1033157953 | NPPES |
| Wisconsin | MEDICAID | 38516100 |
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