Ellisbello, Lisa

Ellisbello, Lisa is an sole proprietor health care provider with primary practice located at 1477 Lincoln Ave , San Rafael CA 94901-2028. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ellisbello, Lisa can be contacted via phone (415) 459-2395.

Contact Information

Primary practice address
1477 Lincoln Ave San Rafael CA 94901-2028
Phone: (415) 459-2395
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1447798566
LBN Legal business name Ellisbello, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2017
Last updated Feb 9th, 2017 - about 9 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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