Chism, Lisa

Chism, Lisa is an individual health care provider with primary practice located at 1316 S Owl Dr , Gilbert AZ 85296-8470. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Contractor. Other Service Providers / Contractor is her primary health care specialty. Chism, Lisa can be contacted via phone (480) 868-8659.

Contact Information

Primary practice address
1316 S Owl Dr Gilbert AZ 85296-8470
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1255977633
LBN Legal business name Chism, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2019
Last updated Nov 21st, 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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