Rahaim, Lisa R

Rahaim, Lisa R is an individual health care provider with primary practice located at 26 East Red Bank Ave , Woodbury NJ 08096. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Rahaim, Lisa R can be contacted via phone (856) 848-4464.

Contact Information

Primary practice address
26 East Red Bank Ave Woodbury NJ 08096
Phone: (856) 848-4464
Fax: (856) 848-8706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ00017200 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26N008267700 New Jersey

Profile Details

NPI number 1982703914
LBN Legal business name Rahaim, Lisa R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jun 14th, 2012 - about 14 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 1982703914 NPPES
New Jersey MEDICAID 0129640

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