Holland, Lisa
Holland, Lisa is an sole proprietor health care provider with primary practice located at 7405 Westfield Blvd , Indianapolis IN 46240-3056. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Holland, Lisa can be contacted via phone (317) 918-2689.Contact Information
Primary practice address
7405 Westfield Blvd
Indianapolis IN 46240-3056
Phone: (317) 918-2689
Fax: (317) 973-0196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-18-31146 |
Profile Details
| NPI number | 1811464563 |
|---|---|
| LBN Legal business name | Holland, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2018 |
| Last updated | Jun 23rd, 2023 - 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 | 1811464563 | NPPES |
| Indiana | MEDICAID | 35-1168048 |
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