Bengtson, Lisa Nicole

Bengtson, Lisa Nicole is an sole proprietor health care provider with primary practice located at 610 W 4Th St , Storm Lake IA 50588-1713. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Bengtson, Lisa Nicole can be contacted via phone (712) 749-2021.

Contact Information

Primary practice address
610 W 4Th St Storm Lake IA 50588-1713
Phone: (712) 749-2021
Fax: (712) 749-1460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 000787 Iowa

Profile Details

NPI number 1568880375
LBN Legal business name Bengtson, Lisa Nicole
Credentials MS, ATC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2014
Last updated Mar 31st, 2014 - about 10 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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