Martis, Lisa
Martis, Lisa is an individual health care provider with primary practice located at 3711 S Taylor Dr Suite 104, Sheboygan WI 53081-8495. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Martis, Lisa can be contacted via phone (920) 457-2917.Contact Information
Primary practice address
3711 S Taylor Dr Suite 104
Sheboygan WI 53081-8495
Phone: (920) 457-2917
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 6970 - 33 | Wisconsin |
Profile Details
| NPI number | 1841742004 |
|---|---|
| LBN Legal business name | Martis, Lisa |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2016 |
| Last updated | Dec 27th, 2016 - about 10 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 | 1841742004 | NPPES |
| Wisconsin | MEDICAID | 1841742004 |
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