Leasum, Ivy E
Leasum, Ivy E is an individual health care provider with primary practice located at 320 N Wisconsin St , De Pere WI 54115-2737. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Leasum, Ivy E can be contacted via phone (920) 327-7056.Contact Information
Primary practice address
320 N Wisconsin St
De Pere WI 54115-2737
Phone: (920) 327-7056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3141-33 | Wisconsin |
Profile Details
| NPI number | 1295925824 |
|---|---|
| LBN Legal business name | Leasum, Ivy E |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Apr 22nd, 2024 - about 5 months 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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