Fishback, Lisa Ann

Fishback, Lisa Ann is an sole proprietor health care provider with primary practice located at 7626 W Hickory Creek Dr , Frankfort IL 60423-9095. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fishback, Lisa Ann can be contacted via phone (815) 212-4225.

Contact Information

Primary practice address
7626 W Hickory Creek Dr Frankfort IL 60423-9095
Phone: (815) 212-4225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209026609 Illinois

Profile Details

NPI number 1790490522
LBN Legal business name Fishback, Lisa Ann
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2023
Last updated Jan 17th, 2023 - about 2 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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