Crenshaw, Lisa
Crenshaw, Lisa is an sole proprietor health care provider with primary practice located at 1400 Sudderth Dr , Ruidoso NM 88345-6103. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Crenshaw, Lisa can be contacted via phone (505) 257-2368.Contact Information
Primary practice address
1400 Sudderth Dr
Ruidoso NM 88345-6103
Phone: (505) 257-2368
Fax: (505) 257-2141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 880 | New Mexico |
Profile Details
| NPI number | 1285712158 |
|---|---|
| LBN Legal business name | Crenshaw, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| 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 | 1285712158 | NPPES |
| New Mexico | MEDICAID | 89908 |
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