Harris, Lisa E

Harris, Lisa E is an individual health care provider with primary practice located at 233 N Court St , Fayetteville WV 25840-1233. 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. Harris, Lisa E can be contacted via phone (304) 574-1416.

Contact Information

Primary practice address
233 N Court St Fayetteville WV 25840-1233
Phone: (304) 574-1416
Fax: (304) 574-1474
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 902 West Virginia

Profile Details

NPI number 1235314378
LBN Legal business name Harris, Lisa E
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2008
Last updated Apr 28th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235314378 NPPES
West Virginia MEDICAID 0156959000
West Virginia Other 1003994054

Popular Providers