Kolesar, Lisa Margaret
Kolesar, Lisa Margaret is an individual health care provider with primary practice located at 7979 W Rifleman St Ste 100 , Boise ID 83704-9066. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Kolesar, Lisa Margaret can be contacted via phone (208) 377-3850.Contact Information
Primary practice address
7979 W Rifleman St Ste 100
Boise ID 83704-9066
Phone: (208) 377-3850
Fax: (208) 658-1360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1988 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 234 | Idaho |
Profile Details
| NPI number | 1376500124 |
|---|---|
| LBN Legal business name | Kolesar, Lisa Margaret |
| Credentials | DPT, ACT/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Dec 13th, 2011 - about 15 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 | 1376500124 | NPPES |
| Idaho | Other | TD492 | BLUE CROSS OF IDAHO |
| Idaho | Other | 000010142952 | BLUE CROSS OF IDAHO |
| Idaho | MEDICAID | 805753950 | BLUE CROSS OF IDAHO |
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