Braasch, Lisa M

Braasch, Lisa M is an sole proprietor health care provider with primary practice located at 200 Southern Bay Dr , Saint Johns FL 32259-6275. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Braasch, Lisa M can be contacted via phone (904) 287-1918.

Contact Information

Primary practice address
200 Southern Bay Dr Saint Johns FL 32259-6275
Phone: (904) 287-1918
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 84898

Profile Details

NPI number 1780960864
LBN Legal business name Braasch, Lisa M
Credentials CST/CSFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2011
Last updated Nov 2nd, 2011 - about 14 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 1780960864 NPPES
Other 84898 NBSTSA

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