Bushhorn, Lisa

Bushhorn, Lisa is an individual health care provider with primary practice located at 7941 Castleway Dr , Indianapolis IN 46250-1953. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Bushhorn, Lisa can be contacted via phone (317) 771-6726.

Contact Information

Primary practice address
7941 Castleway Dr Indianapolis IN 46250-1953
Phone: (317) 771-6726
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1497474019
LBN Legal business name Bushhorn, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2022
Last updated Aug 25th, 2022 - about 3 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 1497474019 NPPES
Indiana MEDICAID 101YM0800X

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