Bundrick, Lisa Pauline

Bundrick, Lisa Pauline is an individual health care provider with primary practice located at 115 E Main St Ste 18 , Williamston NC 27892-2482. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified, which is considered as her primary health care specialty. Bundrick, Lisa Pauline can be contacted via phone (252) 792-1659.

Contact Information

Primary practice address
115 E Main St Ste 18 Williamston NC 27892-2482
Phone: (252) 792-1659
Fax: (252) 792-2043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified 227800000X 3475 North Carolina

Profile Details

NPI number 1457594327
LBN Legal business name Bundrick, Lisa Pauline
Credentials CRT, RCP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2009
Last updated Jul 3rd, 2009 - about 15 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 1457594327 NPPES
North Carolina MEDICAID 7492757

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