Straight, Lisa Jo

Straight, Lisa Jo is an individual health care provider with primary practice located at 135 S Penn Ave , Harrisville WV 26362. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Straight, Lisa Jo can be contacted via phone (304) 643-4005.

Contact Information

Primary practice address
135 S Penn Ave Harrisville WV 26362
Phone: (304) 643-4005
Fax: (304) 643-4007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 036970 West Virginia

Profile Details

NPI number 1740449214
LBN Legal business name Straight, Lisa Jo
Credentials RNCS-FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2008
Last updated Oct 14th, 2019 - about 7 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 1740449214 NPPES
West Virginia MEDICAID 7105043000

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