Fullenkamp, Lisa Jane

Fullenkamp, Lisa Jane is an individual health care provider with primary practice located at 3000 Risen Son Blvd , Council Bluffs IA 51503-1911. 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. Fullenkamp, Lisa Jane can be contacted via phone (712) 366-0286.

Contact Information

Primary practice address
3000 Risen Son Blvd Council Bluffs IA 51503-1911
Phone: (712) 366-0286
Fax: (712) 366-0277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 01568 Iowa

Profile Details

NPI number 1104082205
LBN Legal business name Fullenkamp, Lisa Jane
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Jul 29th, 2008 - 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.

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