Leonard, Thomas Joseph

Leonard, Thomas Joseph is an individual health care provider with primary practice located at 2763 Manitowoc Rd Suite B, Green Bay WI 54311-6633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Leonard, Thomas Joseph can be contacted via phone (920) 468-8288.

Contact Information

Primary practice address
2763 Manitowoc Rd Suite B Green Bay WI 54311-6633
Phone: (920) 468-8288
Fax: (920) 468-9887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25884-020 Wisconsin

Profile Details

NPI number 1992774160
LBN Legal business name Leonard, Thomas Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Mar 7th, 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 1992774160 NPPES
Wisconsin MEDICAID 30658900

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