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
Phone: (608) 827-8358
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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