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Contact Information

BLOSSOM M FELICIEN, MA
2323 S 109TH ST STE 130B
WEST ALLIS, WI53227-1909
 Phone: 414-334-5224
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for BLOSSOM M FELICIEN · (Female)

NPI Number 1740925601
Status Active
Credentials MA
Entity Individual
Enumeration date 05/04/2022
Last updated 05/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2900134
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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