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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841742004 NPPES
Wisconsin MEDICAID 1841742004

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