Dison, Christina

Dison, Christina is an individual health care provider with primary practice located at 617 S Trenton St , Ruston LA 71270-5040. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Dison, Christina can be contacted via phone (318) 251-4659.

Contact Information

Primary practice address
617 S Trenton St Ruston LA 71270-5040
Fax: (318) 251-4659
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 11424 Louisiana

Profile Details

NPI number 1083029847
LBN Legal business name Dison, Christina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2014
Last updated Feb 5th, 2015 - 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 1083029847 NPPES
Louisiana MEDICAID 24680

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