Shirtz, Lise A

Shirtz, Lise A is an individual health care provider with primary practice located at 36975 Utica Rd Suite 103, Clinton Township MI 48036-1685. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shirtz, Lise A can be contacted via phone (586) 226-3440.

Contact Information

Primary practice address
36975 Utica Rd Suite 103 Clinton Township MI 48036-1685
Fax: (586) 226-3740
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301011642 Michigan

Profile Details

NPI number 1649338534
LBN Legal business name Shirtz, Lise A
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Nov 17th, 2011 - about 15 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 1649338534 NPPES
Other 450002000 POLICY #

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