Bliwas, Crain Henry
Bliwas, Crain Henry is an sole proprietor health care provider with primary practice located at 11101 W Lincoln Ave , West Allis WI 53227-1133. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Bliwas, Crain Henry can be contacted via phone (414) 203-4500.Contact Information
Primary practice address
11101 W Lincoln Ave
West Allis WI 53227-1133
Phone: (414) 203-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 19951 | Wisconsin |
Profile Details
| NPI number | 1861570855 |
|---|---|
| LBN Legal business name | Bliwas, Crain Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861570855 | NPPES |
| Wisconsin | MEDICAID | 30119800 |
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