Gillette, Lisa Farrer

Gillette, Lisa Farrer is an individual health care provider with primary practice located at 10042 Mulberry Ln , Grand Blanc MI 48439-2535. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Gillette, Lisa Farrer can be contacted via phone (989) 513-0935.

Contact Information

Primary practice address
10042 Mulberry Ln Grand Blanc MI 48439-2535
Phone: (989) 513-0935
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1124405873
LBN Legal business name Gillette, Lisa Farrer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2015
Last updated Mar 6th, 2019 - about 6 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 1124405873 NPPES
Michigan MEDICAID 1124405873

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