Dials, Lisa Marie
Dials, Lisa Marie is an individual health care provider with primary practice located at 578 N Leavitt Rd , Amherst OH 44001-1131. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Dials, Lisa Marie can be contacted via phone (440) 989-3801.Contact Information
Primary practice address
578 N Leavitt Rd
Amherst OH 44001-1131
Phone: (440) 989-3801
Fax: (440) 988-1227
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 364SC0200X | COA.13374-NS | Ohio |
Profile Details
NPI number | 1609113133 |
---|---|
LBN Legal business name | Dials, Lisa Marie |
Credentials | CCNS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 3rd, 2013 |
Last updated | Feb 5th, 2016 - about 9 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 | 1609113133 | NPPES |
Ohio | MEDICAID | 0082382 | |
Ohio | MEDICAID | 3025372 |
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