Reitz, Lisa

Reitz, Lisa is an individual health care provider with primary practice located at 980 E Water St , Lock Haven PA 17745-1514. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Reitz, Lisa can be contacted via phone (570) 748-3928.

Contact Information

Primary practice address
980 E Water St Lock Haven PA 17745-1514
Phone: (570) 748-3928
Fax: (570) 748-3610
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1043777600
LBN Legal business name Reitz, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2019
Last updated Mar 1st, 2019 - about 6 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 1043777600 NPPES
Pennsylvania MEDICAID 23-2007408

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