Colwick, Lisa E

Colwick, Lisa E is an sole proprietor health care provider with primary practice located at 1017 N Main St , Sikeston MO 63801-5043. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Colwick, Lisa E can be contacted via phone (573) 472-6030.

Contact Information

Primary practice address
1017 N Main St Sikeston MO 63801-5043
Phone: (573) 472-6030
Fax: (573) 472-6029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 081070 Missouri

Profile Details

NPI number 1437248705
LBN Legal business name Colwick, Lisa E
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Aug 28th, 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 1437248705 NPPES
Missouri MEDICAID 428896013

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