Bedenbaugh, Lisa
Bedenbaugh, Lisa is an individual health care provider with primary practice located at 142 Martin Luther King Jr Blvd , Monroe GA 30655-5620. 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. Bedenbaugh, Lisa can be contacted via phone (770) 207-1137.Contact Information
Primary practice address
142 Martin Luther King Jr Blvd
Monroe GA 30655-5620
Phone: (770) 207-1137
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1528145216 |
|---|---|
| LBN Legal business name | Bedenbaugh, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1528145216 | NPPES |
| Georgia | Other | 5147 | LICENSE# |
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