Blahnik, Lori

Blahnik, Lori is an individual health care provider with primary practice located at 702 W Main St , Madison WI 53715-1424. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Blahnik, Lori can be contacted via phone (608) 280-2580.

Contact Information

Primary practice address
702 W Main St Madison WI 53715-1424
Phone: (608) 280-2580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 93741 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3591-123 Wisconsin

Profile Details

NPI number 1144437138
LBN Legal business name Blahnik, Lori
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Aug 22nd, 2016 - about 9 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 1144437138 NPPES
Wisconsin MEDICAID 39606300

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