Firullo, Lisa Ann
Firullo, Lisa Ann is an sole proprietor health care provider with primary practice located at 903 Northeast Dr Suite 301, Davidson NC 28036-7416. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Firullo, Lisa Ann can be contacted via phone (704) 941-9419.Contact Information
Primary practice address
903 Northeast Dr Suite 301
Davidson NC 28036-7416
Phone: (704) 941-9419
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4287 | North Carolina |
Profile Details
| NPI number | 1669424636 |
|---|---|
| LBN Legal business name | Firullo, Lisa Ann |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | Dec 17th, 2009 - about 17 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 | 1669424636 | NPPES |
| North Carolina | MEDICAID | 6102348 |
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