Rose, Lisa A
Rose, Lisa A is an individual health care provider with primary practice located at 925 Highway V V , Kennett MO 63857-7707. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Rose, Lisa A can be contacted via phone (573) 888-5925.Contact Information
Primary practice address
925 Highway V V
Kennett MO 63857-7707
Phone: (573) 888-5925
Fax: (573) 888-9365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2006038844 | Missouri |
Profile Details
| NPI number | 1710163365 |
|---|---|
| LBN Legal business name | Rose, Lisa A |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2008 |
| Last updated | Aug 6th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710163365 | NPPES |
| Missouri | MEDICAID | 1710163365 | |
| Missouri | MEDICAID | 17101063365 |
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