Berry, Lisa Loiuse
Berry, Lisa Loiuse is an sole proprietor health care provider with primary practice located at 2206 N Pine St , La Grande OR 97850-3712. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Berry, Lisa Loiuse can be contacted via phone (541) 323-4676.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | 106730 | Oregon |
Profile Details
| NPI number | 1154040368 |
|---|---|
| LBN Legal business name | Berry, Lisa Loiuse |
| Credentials | CHW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2022 |
| Last updated | Dec 27th, 2022 - about 2 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 | 1154040368 | NPPES |
| Oregon | MEDICAID | THW000106730 |
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