Maynard, Lisa G.
Maynard, Lisa G. is an sole proprietor health care provider with primary practice located at 376 W Main St , Covington VA 24426-1517. She recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as her primary health care specialty. Maynard, Lisa G. can be contacted via phone (540) 962-4433.Contact Information
Primary practice address
376 W Main St
Covington VA 24426-1517
Phone: (540) 962-4433
Fax: (540) 962-4434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X | 0206009194 | Virginia |
Profile Details
| NPI number | 1790950251 |
|---|---|
| LBN Legal business name | Maynard, Lisa G. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Jun 28th, 2008 - about 18 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 | 1790950251 | NPPES |
| Virginia | MEDICAID | 009106049 |
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