Doverspike, Lisa Kristine
Doverspike, Lisa Kristine is an individual health care provider with primary practice located at 129 Oneida Valley Rd Ste 310 , Butler PA 16001-2252. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Doverspike, Lisa Kristine can be contacted via phone (617) 851-6197.Contact Information
Primary practice address
129 Oneida Valley Rd Ste 310
Butler PA 16001-2252
Phone: (617) 851-6197
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Pennsylvania |
Profile Details
| NPI number | 1134170475 |
|---|---|
| LBN Legal business name | Doverspike, Lisa Kristine |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jan 5th, 2018 - about 8 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 | 1134170475 | NPPES |
| Pennsylvania | MEDICAID | 103181495-0001 |
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