Leepalao, Maykong

Leepalao, Maykong is an sole proprietor health care provider with primary practice located at 1501 S Madison St , Appleton WI 54915-1846. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Leepalao, Maykong can be contacted via phone (920) 730-4435.

Contact Information

Primary practice address
1501 S Madison St Appleton WI 54915-1846
Phone: (920) 730-4435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 62776 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1033559588
LBN Legal business name Leepalao, Maykong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2013
Last updated Feb 23rd, 2022 - about 4 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 1033559588 NPPES
Wisconsin MEDICAID 100041203

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