Gross, Lisa K

Gross, Lisa K is an individual health care provider with primary practice located at 2909 Daniell Cir , Bellevue NE 68123-1980. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gross, Lisa K can be contacted via phone (123) 456-7890.

Contact Information

Primary practice address
2909 Daniell Cir Bellevue NE 68123-1980
Phone: (123) 456-7890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2621 Nebraska

Profile Details

NPI number 1821271560
LBN Legal business name Gross, Lisa K
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2007
Last updated Sep 20th, 2010 - about 16 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 1821271560 NPPES
Nebraska Other 02460 BCBS NEBRASKA
Nebraska Other P00609476 BCBS NEBRASKA

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