Pietig, Lisa

Pietig, Lisa is an individual health care provider with primary practice located at 223 Shamrock Dr , Mahtomedi MN 55115-1760. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Pietig, Lisa can be contacted via phone (612) 239-0707.

Contact Information

Primary practice address
223 Shamrock Dr Mahtomedi MN 55115-1760
Phone: (612) 239-0707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7207 Minnesota

Profile Details

NPI number 1417066630
LBN Legal business name Pietig, Lisa
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated May 1st, 2009 - about 16 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 1417066630 NPPES
Minnesota Other 46-00576 MEDICA
Minnesota Other HP44286 MEDICA
Minnesota Other 319J4MO MEDICA

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