Chabot, Lisa

Chabot, Lisa is an individual health care provider with primary practice located at 248 S Florissant Rd , Ferguson MO 63135-2736. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Chabot, Lisa can be contacted via phone (314) 522-8773.

Contact Information

Primary practice address
248 S Florissant Rd Ferguson MO 63135-2736
Phone: (314) 522-8773
Fax: (314) 522-0228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T03129 Missouri

Profile Details

NPI number 1083774699
LBN Legal business name Chabot, Lisa
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Apr 20th, 2015 - about 11 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 1083774699 NPPES
Missouri MEDICAID 316777663
Missouri Other 181457

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