Nebel, Lisa
Nebel, Lisa is an sole proprietor health care provider with primary practice located at 316 E 14Th St , Kaukauna WI 54130-3304. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Nebel, Lisa can be contacted via phone (920) 766-6020.Contact Information
Primary practice address
316 E 14Th St
Kaukauna WI 54130-3304
Phone: (920) 766-6020
Fax: (920) 759-1937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5968-024 | Wisconsin |
Profile Details
| NPI number | 1225167125 |
|---|---|
| LBN Legal business name | Nebel, Lisa |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jul 8th, 2007 - 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 | 1225167125 | NPPES |
| Wisconsin | MEDICAID | 40321700 |
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