Beasley, Lisa

Beasley, Lisa is an individual health care provider with primary practice located at 1400 Professional Blvd , Evansville IN 47714-8005. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Beasley, Lisa can be contacted via phone (812) 473-2642.

Contact Information

Primary practice address
1400 Professional Blvd Evansville IN 47714-8005
Phone: (812) 473-2642
Fax: (812) 474-4458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 046103

Profile Details

NPI number 1992706378
LBN Legal business name Beasley, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 19 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 1992706378 NPPES
Other F01344 CST/CFA CERT #

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