Lardinois, Phyllis Ann
Lardinois, Phyllis Ann is an sole proprietor health care provider with primary practice located at 3200 W Highland Blvd , Milwaukee WI 53208-3252. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Lardinois, Phyllis Ann can be contacted via phone (414) 614-9204.Contact Information
Primary practice address
3200 W Highland Blvd
Milwaukee WI 53208-3252
Phone: (414) 614-9204
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1627125 | Wisconsin |
| Behavioral Health & Social Service Providers / School | 101YS0200X | L635000118158 | Wisconsin |
Profile Details
| NPI number | 1154597771 |
|---|---|
| LBN Legal business name | Lardinois, Phyllis Ann |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2008 |
| Last updated | May 4th, 2008 - about 16 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 | 1154597771 | NPPES |
| Wisconsin | Other | 26-1704319 | INTERNAL REVENUE SERVICE |
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