Jochum, Lisa M

Jochum, Lisa M is an sole proprietor health care provider with primary practice located at 254 Old Eagle School Rd Apt #1, Wayne PA 19087-2454. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jochum, Lisa M can be contacted via phone (610) 254-0184.

Contact Information

Primary practice address
254 Old Eagle School Rd Apt #1 Wayne PA 19087-2454
Fax:
Website:

Health care specialties

Profile Details

NPI number 1699969352
LBN Legal business name Jochum, Lisa M
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2007
Last updated Sep 8th, 2010 - about 16 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 1699969352 NPPES
Pennsylvania MEDICAID 254

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