Thill, Lisa S

Thill, Lisa S is an individual health care provider with primary practice located at 1126 S. 70Th Street Suite S-507, West Allis WI 53214. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thill, Lisa S can be contacted via phone (414) 727-2789.

Contact Information

Primary practice address
1126 S. 70Th Street Suite S-507 West Allis WI 53214
Phone: (414) 727-2789
Fax: (414) 476-8695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6162-123 Wisconsin

Profile Details

NPI number 1841377694
LBN Legal business name Thill, Lisa S
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841377694 NPPES
Wisconsin MEDICAID 43580000

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