Nikula, Lisa Kay

Nikula, Lisa Kay is an sole proprietor health care provider with primary practice located at 317 Knutson Dr , Madison WI 53704-1133. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Nikula, Lisa Kay can be contacted via phone (608) 310-9379.

Contact Information

Primary practice address
317 Knutson Dr Madison WI 53704-1133
Phone: (608) 310-9379
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 54-027 Wisconsin

Profile Details

NPI number 1306943444
LBN Legal business name Nikula, Lisa Kay
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306943444 NPPES
Wisconsin Other 54-027 STATE LICENSURE
Wisconsin MEDICAID 40888500 STATE LICENSURE

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