Herrygers, Lisa A
Herrygers, Lisa A is an individual health care provider with primary practice located at 3820 N 27Th Ave Ste 100 , Bozeman MT 59718-3234. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Herrygers, Lisa A can be contacted via phone (406) 587-1245.Contact Information
Primary practice address
3820 N 27Th Ave Ste 100
Bozeman MT 59718-3234
Phone: (406) 587-1245
Fax: (406) 587-1092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | 10344 | Montana |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 10344 | Montana |
Profile Details
| NPI number | 1205824448 |
|---|---|
| LBN Legal business name | Herrygers, Lisa A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Oct 24th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205824448 | NPPES |
| Montana | MEDICAID | 0063835 | |
| Montana | Other | 95055 |
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