Eckblad, Christine M

Eckblad, Christine M is an individual health care provider with primary practice located at 1220 Dewey Ave , Milwaukee WI 53213-2504. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Eckblad, Christine M can be contacted via phone (414) 454-6777.

Contact Information

Primary practice address
1220 Dewey Ave Milwaukee WI 53213-2504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5580 Wisconsin

Profile Details

NPI number 1689933376
LBN Legal business name Eckblad, Christine M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2012
Last updated Dec 28th, 2021 - about 5 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 1689933376 NPPES
Wisconsin MEDICAID 100045958

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