Benish, Lisa M

Benish, Lisa M is an individual health care provider with primary practice located at 153 Cesar Chavez St , W. St. Paul MN 55107-2226. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Benish, Lisa M can be contacted via phone (651) 222-1816.

Contact Information

Primary practice address
153 Cesar Chavez St W. St. Paul MN 55107-2226
Phone: (651) 222-1816
Fax: (651) 222-1305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9642 Minnesota

Profile Details

NPI number 1679534382
LBN Legal business name Benish, Lisa M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Apr 22nd, 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 1679534382 NPPES
Minnesota MEDICAID 044599100
Minnesota Other 348S4BE
Minnesota Other HP35662
Minnesota Other 0120453
Minnesota Other 141859
Minnesota Other NA9021034915

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