Leahan, Mike

Leahan, Mike is an individual health care provider with primary practice located at 822 Park Ave , Beaver Dam WI 53916-2206. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Leahan, Mike can be contacted via phone (920) 887-7511.

Contact Information

Primary practice address
822 Park Ave Beaver Dam WI 53916-2206
Phone: (920) 887-7511
Fax: (920) 887-0725
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 10922-040 Wisconsin

Profile Details

NPI number 1013353994
LBN Legal business name Leahan, Mike
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2013
Last updated May 17th, 2013 - about 12 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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