Sandbo, Lisa Marlis

Sandbo, Lisa Marlis is an sole proprietor health care provider with primary practice located at 342 Massachusetts Avenue Suite 103, Indianapolis IN 46204. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Sandbo, Lisa Marlis can be contacted via phone (317) 631-6000.

Contact Information

Primary practice address
342 Massachusetts Avenue Suite 103 Indianapolis IN 46204
Phone: (317) 631-6000
Fax: (317) 631-6004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 26017201A Indiana
Pharmacy Service Providers / Pharmacist 183500000X 43798 California

Profile Details

NPI number 1255677944
LBN Legal business name Sandbo, Lisa Marlis
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2012
Last updated Dec 27th, 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 1255677944 NPPES
California Other 43798 STATE LICENSE
California Other 26017201A STATE LICENSE

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