Balge, Lisa Anne

Balge, Lisa Anne is an individual health care provider with primary practice located at 3111 West Rawson Avenue Suite 215, Franklin WI 53129. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Balge, Lisa Anne can be contacted via phone (414) 761-0727.

Contact Information

Primary practice address
3111 West Rawson Avenue Suite 215 Franklin WI 53129
Phone: (414) 761-0727
Fax: (414) 761-0785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1452-26 Wisconsin

Profile Details

NPI number 1750589990
LBN Legal business name Balge, Lisa Anne
Credentials OTR CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Mar 11th, 2016 - about 10 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 1750589990 NPPES
Wisconsin MEDICAID 1750589990

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