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
Fax: (207) 810-4966
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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 1124021944 NPPES
Hawaii Other 11865 STATE LICENSE

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