Go, Leonard L
Go, Leonard L is an individual health care provider with primary practice located at 700 S Park St Dean St. Mary'S Outpatient Center, Madison WI 53715-1830. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Go, Leonard L can be contacted via phone (608) 260-2900.Contact Information
Primary practice address
700 S Park St Dean St. Mary'S Outpatient Center
Madison WI 53715-1830
Phone: (608) 260-2900
Fax: (608) 260-2976
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 32290-020 | Wisconsin |
Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 32290-020 | Wisconsin |
Profile Details
NPI number | 1609833383 |
---|---|
LBN Legal business name | Go, Leonard L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 27th, 2006 |
Last updated | Mar 2nd, 2010 - about 15 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 | 1609833383 | NPPES |
Wisconsin | MEDICAID | 32435700 | |
Wisconsin | Other | 6314 |
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