Leep, Jason

Leep, Jason is an sole proprietor health care provider with primary practice located at 1910 Alabama St , Sturgeon Bay WI 54235-3532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Leep, Jason can be contacted via phone (920) 746-7200.

Contact Information

Primary practice address
1910 Alabama St Sturgeon Bay WI 54235-3532
Phone: (920) 746-7200
Fax: (920) 746-7299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 57064-20 Wisconsin

Profile Details

NPI number 1811125818
LBN Legal business name Leep, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2009
Last updated Sep 10th, 2012 - about 13 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 1811125818 NPPES
Wisconsin MEDICAID 1811125818

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