Fridley, Lisa

Fridley, Lisa is an individual health care provider with primary practice located at 806 N Washington St , Bismarck ND 58501-3623. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fridley, Lisa can be contacted via phone (701) 355-3028.

Contact Information

Primary practice address
806 N Washington St Bismarck ND 58501-3623
Phone: (701) 355-3028
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 813 North Dakota

Profile Details

NPI number 1093851842
LBN Legal business name Fridley, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093851842 NPPES
North Dakota MEDICAID 54608

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