Lolika, Blaise
Lolika, Blaise is an sole proprietor health care provider with primary practice located at 3130 S Portia Ave , Tucson AZ 85730-1449. He recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Other Service Providers / Contractor. Other Service Providers / Contractor is his primary health care specialty. Lolika, Blaise can be contacted via phone (520) 881-4813.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care | 385H00000X | BH-4758 | Arizona |
| Other Service Providers / Contractor | 171W00000X | BH4758 | Arizona |
Profile Details
| NPI number | 1164897567 |
|---|---|
| LBN Legal business name | Lolika, Blaise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 10th, 2015 |
| Last updated | May 9th, 2024 - about 7 months 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 | 1164897567 | NPPES |
| Arizona | MEDICAID | 093847 | |
| Arizona | Other | BH-4758 |
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