Thachenkary, Leela C

Thachenkary, Leela C is an sole proprietor health care provider with primary practice located at 7107-49Th Ave , Kenosha WI 53142. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Thachenkary, Leela C can be contacted via phone (262) 694-1292.

Contact Information

Primary practice address
7107-49Th Ave Kenosha WI 53142
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 24425-020 Wisconsin

Profile Details

NPI number 1598927444
LBN Legal business name Thachenkary, Leela C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2008
Last updated Jul 1st, 2008 - about 18 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 1598927444 NPPES
Wisconsin Other 24425-020 STATEOFWISCONSIN

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