Genevie, Lisa Ann
Genevie, Lisa Ann is an sole proprietor health care provider with primary practice located at 3111 B N Broadway , Poteau OK 74953-0000. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Genevie, Lisa Ann can be contacted via phone (918) 647-2262.Contact Information
Primary practice address
3111 B N Broadway
Poteau OK 74953-0000
Phone: (918) 647-2262
Fax: (918) 647-2282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1699107128 |
|---|---|
| LBN Legal business name | Genevie, Lisa Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2013 |
| Last updated | Aug 7th, 2013 - about 13 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 | 1699107128 | NPPES |
| Oklahoma | MEDICAID | 200123440A |
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