James, Lisa

James, Lisa is an sole proprietor health care provider with primary practice located at 418 E Wisconsin Ave , Oconomowoc WI 53066-3040. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. James, Lisa can be contacted via phone (414) 429-6403.

Contact Information

Primary practice address
418 E Wisconsin Ave Oconomowoc WI 53066-3040
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6555-125 Wisconsin

Profile Details

NPI number 1356805808
LBN Legal business name James, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2019
Last updated Jan 29th, 2019 - about 7 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 1356805808 NPPES
Wisconsin Other 463263406 1477543981

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