Ali, Laeekha A

Ali, Laeekha A is an individual health care provider with primary practice located at 707 S University Ave , Beaver Dam WI 53916-3027. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Ali, Laeekha A can be contacted via phone (920) 887-7181.

Contact Information

Primary practice address
707 S University Ave Beaver Dam WI 53916-3027
Phone: (920) 887-7181
Fax: (920) 887-6833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 28738 Wisconsin

Profile Details

NPI number 1245200427
LBN Legal business name Ali, Laeekha A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated May 11th, 2023 - about last year

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 1245200427 NPPES
Wisconsin MEDICAID 32510400

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