Churchman Bailey, Lisa
Churchman Bailey, Lisa is an sole proprietor health care provider with primary practice located at 225 W Ascension St , Gonzales LA 70737-2803. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Churchman Bailey, Lisa can be contacted via phone (225) 644-4976.Contact Information
Primary practice address
225 W Ascension St
Gonzales LA 70737-2803
Phone: (225) 644-4976
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4685 | Louisiana |
Profile Details
| NPI number | 1023163599 |
|---|---|
| LBN Legal business name | Churchman Bailey, Lisa |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023163599 | NPPES |
| Louisiana | MEDICAID | 1881163 |
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