Diffenbaugh, Lisa Marie

Diffenbaugh, Lisa Marie is an sole proprietor health care provider with primary practice located at 204 Cameron Dr , Douglassville PA 19518-8720. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Diffenbaugh, Lisa Marie can be contacted via phone (484) 529-9663.

Contact Information

Primary practice address
204 Cameron Dr Douglassville PA 19518-8720
Phone: (484) 529-9663
Fax: (484) 991-2109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT016899 Pennsylvania

Profile Details

NPI number 1205991585
LBN Legal business name Diffenbaugh, Lisa Marie
Credentials MSPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated May 23rd, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205991585 NPPES
Pennsylvania Other 101209274 MA

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