Canillas, Alisa Gail
Canillas, Alisa Gail is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-1000. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Canillas, Alisa Gail can be contacted via phone (603) 650-2651.Contact Information
Primary practice address
1 Medical Center Dr
Lebanon NH 03756-1000
Phone: (603) 650-2651
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 596 | New Hampshire |
Profile Details
| NPI number | 1285649079 |
|---|---|
| LBN Legal business name | Canillas, Alisa Gail |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Oct 17th, 2011 - about 13 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 | 1285649079 | NPPES |
| Vermont | MEDICAID | 1012026 |
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