Debolt, Lisa Marie

Debolt, Lisa Marie is an individual health care provider with primary practice located at 324 S. Union St , Traverse City MI 49684. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Debolt, Lisa Marie can be contacted via phone (231) 947-4212.

Contact Information

Primary practice address
324 S. Union St Traverse City MI 49684
Phone: (231) 947-4212
Fax: (231) 947-0301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302027748 Michigan

Profile Details

NPI number 1598826547
LBN Legal business name Debolt, Lisa Marie
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 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.

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