Waitches, Lisa Diane

Waitches, Lisa Diane is an individual health care provider with primary practice located at 5454 Hohman Ave , Hammond IN 46320-1931. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Waitches, Lisa Diane can be contacted via phone (219) 933-2077.

Contact Information

Primary practice address
5454 Hohman Ave Hammond IN 46320-1931
Phone: (219) 933-2077
Fax: (219) 864-2649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02002745A Indiana

Profile Details

NPI number 1831182369
LBN Legal business name Waitches, Lisa Diane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jul 20th, 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 1831182369 NPPES
Illinois Other 90001358 BCBSIL
Illinois MEDICAID 200486900 BCBSIL

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