Clancy, Lisa Ann
Clancy, Lisa Ann is an individual health care provider with primary practice located at 2954 Flamelight Ct , Saint Louis MO 63129-2413. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Clancy, Lisa Ann can be contacted via phone (314) 845-6719.Contact Information
Primary practice address
2954 Flamelight Ct
Saint Louis MO 63129-2413
Phone: (314) 845-6719
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1881893865 |
|---|---|
| LBN Legal business name | Clancy, Lisa Ann |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2007 |
| Last updated | Jul 11th, 2007 - about 17 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 | 1881893865 | NPPES |
| Missouri | Other | 01623 | PT LICENSE |
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