Rivera, Lisa Louise

Rivera, Lisa Louise is an sole proprietor health care provider with primary practice located at 201 Highland Dr , Buena WA 98921-0139. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Assistant Record Technician, which is considered as her primary health care specialty. Rivera, Lisa Louise can be contacted via phone (509) 865-6705.

Contact Information

Primary practice address
201 Highland Dr Buena WA 98921-0139
Phone: (509) 865-6705
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Assistant Record Technician 2470A2800X CM61165804 Washington

Profile Details

NPI number 1235705336
LBN Legal business name Rivera, Lisa Louise
Credentials CM61165804
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2021
Last updated May 28th, 2021 - about 5 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 1235705336 NPPES
Washington MEDICAID 91-0755984

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