Wiesner, Lori
Wiesner, Lori is an sole proprietor health care provider with primary practice located at 304 Front St , Lincoln RI 02865-2425. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wiesner, Lori can be contacted via phone (401) 725-9400.Contact Information
Primary practice address
304 Front St
Lincoln RI 02865-2425
Phone: (401) 725-9400
Fax: (401) 725-9424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW01263 | Rhode Island |
Profile Details
| NPI number | 1033215991 |
|---|---|
| LBN Legal business name | Wiesner, Lori |
| Credentials | M.S.W., L.I.C.S.W. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033215991 | NPPES |
| Rhode Island | Other | 406304 | BLUE CHIP |
| Rhode Island | MEDICAID | LW59545 | BLUE CHIP |
| Rhode Island | Other | 30310-3 | BLUE CHIP |
| Rhode Island | Other | 62-32349 | BLUE CHIP |
| Rhode Island | Other | 1064580 | BLUE CHIP |
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