Sedlak, Lisa Jo Weber

Sedlak, Lisa Jo Weber is an sole proprietor health care provider with primary practice located at 2600 65Th Ave , Osceola WI 54020. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Sedlak, Lisa Jo Weber can be contacted via phone (715) 294-4752.

Contact Information

Primary practice address
2600 65Th Ave Osceola WI 54020
Phone: (715) 294-4752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 660124 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1054 Minnesota

Profile Details

NPI number 1194986588
LBN Legal business name Sedlak, Lisa Jo Weber
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2008
Last updated Jun 2nd, 2009 - about 17 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 1194986588 NPPES
Wisconsin Other 810583378018 ANTHEM BLUE CROSS
Wisconsin Other 506S1SE ANTHEM BLUE CROSS
Wisconsin Other 6268361 ANTHEM BLUE CROSS
Wisconsin Other 91529 ANTHEM BLUE CROSS

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