Hawley, Lisa Ruth

Hawley, Lisa Ruth is an individual health care provider with primary practice located at 424 3Rd St Se , Devils Lake ND 58301-3605. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Hawley, Lisa Ruth can be contacted via phone (701) 351-1182.

Contact Information

Primary practice address
424 3Rd St Se Devils Lake ND 58301-3605
Phone: (701) 351-1182
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 2645 North Dakota

Profile Details

NPI number 1891996179
LBN Legal business name Hawley, Lisa Ruth
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated May 14th, 2009 - about 17 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 1891996179 NPPES
North Dakota Other 28300 BCBS
North Dakota MEDICAID 19227 BCBS
North Dakota Other 30987 BCBS

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