Liegel, Leslie P

Liegel, Leslie P is an individual health care provider with primary practice located at 8814 Timber Wolf Trl , Madison WI 53717-2721. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Liegel, Leslie P can be contacted via phone (608) 827-8358.

Contact Information

Primary practice address
8814 Timber Wolf Trl Madison WI 53717-2721
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 819-23 Wisconsin

Profile Details

NPI number 1922084649
LBN Legal business name Liegel, Leslie P
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jun 23rd, 2020 - about 6 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 1922084649 NPPES
Wisconsin Other P00144568 RAILROAD MEDICARE PROV #
Wisconsin Other 70 RAILROAD MEDICARE PROV #
Wisconsin Other 1009390 RAILROAD MEDICARE PROV #
Wisconsin MEDICAID 42950700 RAILROAD MEDICARE PROV #

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