Brady, Lisa Elaine

Brady, Lisa Elaine is an sole proprietor health care provider with primary practice located at 743 E Ann St , Valdosta GA 31601-4114. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Brady, Lisa Elaine can be contacted via phone (401) 954-1535.

Contact Information

Primary practice address
743 E Ann St Valdosta GA 31601-4114
Phone: (401) 954-1535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X Georgia

Profile Details

NPI number 1245872290
LBN Legal business name Brady, Lisa Elaine
Credentials B.A.. P.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2019
Last updated Oct 10th, 2019 - about 6 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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