Declark, Lisa Mary
Declark, Lisa Mary is an sole proprietor health care provider with primary practice located at 119 W 2Nd St , Perrysburg OH 43551-1402. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Declark, Lisa Mary can be contacted via phone (419) 376-6059.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E.1100125 | Ohio |
Profile Details
| NPI number | 1134470545 |
|---|---|
| LBN Legal business name | Declark, Lisa Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2012 |
| Last updated | Jul 8th, 2016 - about 10 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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