Clemence, Leah C.

Clemence, Leah C. is an sole proprietor health care provider with primary practice located at 26629 Richard Dr , Wind Lake WI 53185-1345. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Clemence, Leah C. can be contacted via phone (262) 895-2058.

Contact Information

Primary practice address
26629 Richard Dr Wind Lake WI 53185-1345
Phone: (262) 895-2058
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin

Profile Details

NPI number 1972647113
LBN Legal business name Clemence, Leah C.
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2007
Last updated Oct 2nd, 2007 - about 17 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 1972647113 NPPES
Wisconsin MEDICAID 35011900

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