Chipeco, Lissa N
Chipeco, Lissa N is an individual health care provider with primary practice located at 2500 Como Ave , Saint Paul MN 55108-1460. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Chipeco, Lissa N can be contacted via phone (651) 641-6200.Contact Information
Primary practice address
2500 Como Ave
Saint Paul MN 55108-1460
Phone: (651) 641-6200
Fax: (651) 641-6295
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 43877 | Minnesota |
Profile Details
NPI number | 1265529663 |
---|---|
LBN Legal business name | Chipeco, Lissa N |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 6th, 2006 |
Last updated | Mar 11th, 2021 - about 3 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 | 1265529663 | NPPES |
Minnesota | MEDICAID | 028720200 |
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