Dolgin, Lisa S.

Dolgin, Lisa S. is an sole proprietor health care provider with primary practice located at 2405 Northwestern Ave , Racine WI 53404-2534. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dolgin, Lisa S. can be contacted via phone (262) 886-0474.

Contact Information

Primary practice address
2405 Northwestern Ave Racine WI 53404-2534
Phone: (262) 886-0474
Fax: (262) 898-3378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 4231-125 Wisconsin

Profile Details

NPI number 1679777361
LBN Legal business name Dolgin, Lisa S.
Credentials MSE, NCC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2007
Last updated Apr 15th, 2013 - about 13 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 1679777361 NPPES
Wisconsin MEDICAID 1679777361

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