Bebko, Lisa Ann

Bebko, Lisa Ann is an individual health care provider with primary practice located at 3637 Sycamore Dairy Rd , Fayetteville NC 28303-3415. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bebko, Lisa Ann can be contacted via phone (910) 487-1832.

Contact Information

Primary practice address
3637 Sycamore Dairy Rd Fayetteville NC 28303-3415
Phone: (910) 487-1832
Fax: (910) 487-6950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9995 North Carolina

Profile Details

NPI number 1467506006
LBN Legal business name Bebko, Lisa Ann
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 9th, 2007 - about 17 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 1467506006 NPPES
North Carolina Other 013X1 BCBS GROUP PROVIDER #
North Carolina MEDICAID 7211258 BCBS GROUP PROVIDER #

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