Rosen, Lisa

Rosen, Lisa is an individual health care provider with primary practice located at 4 Commons Ave Ste A , Windham ME 04062-5554. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Rosen, Lisa can be contacted via phone (207) 893-1738.

Contact Information

Primary practice address
4 Commons Ave Ste A Windham ME 04062-5554
Phone: (207) 893-1738
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT6034 Maine

Profile Details

NPI number 1669149167
LBN Legal business name Rosen, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2021
Last updated Sep 8th, 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 1669149167 NPPES
Maine MEDICAID 1669149167

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