Cooney, Lisa M
Cooney, Lisa M is an sole proprietor health care provider with primary practice located at 1751 E Gardner Way Suite E, Wasilla AK 99654. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Cooney, Lisa M can be contacted via phone (907) 376-1633.Contact Information
Primary practice address
1751 E Gardner Way Suite E
Wasilla AK 99654
Phone: (907) 376-1633
Fax: (907) 376-7864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 3925 | Alaska |
Profile Details
| NPI number | 1578522694 |
|---|---|
| LBN Legal business name | Cooney, Lisa M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2006 |
| Last updated | Feb 14th, 2013 - about 11 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 | 1578522694 | NPPES |
| Alaska | MEDICAID | MD3925 |
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