Baer, Lisa

Baer, Lisa is an individual health care provider with primary practice located at 1404 Eastland Dr Ste 209 , Bloomington IL 61701-7904. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Baer, Lisa can be contacted via phone (309) 662-3277.

Contact Information

Primary practice address
1404 Eastland Dr Ste 209 Bloomington IL 61701-7904
Phone: (309) 662-3277
Fax: (309) 663-0845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X Illinois
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X Illinois

Profile Details

NPI number 1083626485
LBN Legal business name Baer, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083626485 NPPES
Other 05700224 BLUE CROSS BLUE SHIELD

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