Splittstoesser, Lisa S
Splittstoesser, Lisa S is an individual health care provider with primary practice located at 19 Saint Andrews Ln , Boothbay Harbor ME 04538-1732. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Splittstoesser, Lisa S can be contacted via phone (207) 633-7820.Contact Information
Primary practice address
19 Saint Andrews Ln
Boothbay Harbor ME 04538-1732
Phone: (207) 633-7820
Fax: (207) 810-4966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD27782 | Maine |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD27782 | Hawaii |
Profile Details
| NPI number | 1124021944 |
|---|---|
| LBN Legal business name | Splittstoesser, Lisa S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | May 7th, 2024 - about 2 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 | 1124021944 | NPPES |
| Hawaii | Other | 11865 | STATE LICENSE |
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