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
Fax: (440) 988-1227
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609113133 NPPES
Ohio MEDICAID 0082382
Ohio MEDICAID 3025372

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