Gustin, Lisa

Gustin, Lisa is an individual health care provider with primary practice located at 5606 S 147Th St , Omaha NE 68137-2648. 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. Gustin, Lisa can be contacted via phone (402) 715-2350.

Contact Information

Primary practice address
5606 S 147Th St Omaha NE 68137-2648
Phone: (402) 715-2350
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1619340304
LBN Legal business name Gustin, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2015
Last updated Nov 4th, 2015 - about 10 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 1619340304 NPPES
Nebraska Other 7292892205 :NDE STAFF ID 7292892205
Nebraska Other 7292892205 :NDE STAFF ID 7292892205

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