Lodge, Paula D.

Lodge, Paula D. is an individual health care provider with primary practice located at 202 E Locust St , Bloomington IL 61701-3006. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Lodge, Paula D. can be contacted via phone (309) 268-3529.

Contact Information

Primary practice address
202 E Locust St Bloomington IL 61701-3006
Phone: (309) 268-3529
Fax: (309) 268-2323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1245250166
LBN Legal business name Lodge, Paula D.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 2007 - about 18 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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