Jones, Lisa D

Jones, Lisa D is an individual health care provider with primary practice located at 24 Maccorkle Ave Sw , South Charleston WV 25303-1476. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Jones, Lisa D can be contacted via phone (304) 720-2222.

Contact Information

Primary practice address
24 Maccorkle Ave Sw South Charleston WV 25303-1476
Phone: (304) 720-2222
Fax: (304) 720-2322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 464 West Virginia

Profile Details

NPI number 1245225820
LBN Legal business name Jones, Lisa D
Credentials RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Feb 1st, 2022 - about 4 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 1245225820 NPPES
West Virginia Other 873638 COMMISSION ON DIETETIC RE
West Virginia Other 464 COMMISSION ON DIETETIC RE

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