Blaha, Steven C

Blaha, Steven C is an individual health care provider with primary practice located at 225 Memorial Dr Ste 1400, Berlin WI 54923-1243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Blaha, Steven C can be contacted via phone (920) 361-5760.

Contact Information

Primary practice address
225 Memorial Dr Ste 1400 Berlin WI 54923-1243
Fax: (920) 361-5766
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27557 Wisconsin

Profile Details

NPI number 1407865181
LBN Legal business name Blaha, Steven C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 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 1407865181 NPPES
Wisconsin MEDICAID 31507500

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