Leong, Gary

Leong, Gary is an individual health care provider with primary practice located at 1800 Lawrence Dr , De Pere WI 54115-9108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Leong, Gary can be contacted via phone (920) 983-3220.

Contact Information

Primary practice address
1800 Lawrence Dr De Pere WI 54115-9108
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37143 Wisconsin

Profile Details

NPI number 1801870514
LBN Legal business name Leong, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Mar 4th, 2014 - about 11 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 1801870514 NPPES
West Virginia Other 37143 LICENSE

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