Dodd, Lisa Carol
Dodd, Lisa Carol is an individual health care provider with primary practice located at 6 Mathis Dr Nw , Rome GA 30165-1242. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dodd, Lisa Carol can be contacted via phone (706) 270-5033.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1225402480 |
---|---|
LBN Legal business name | Dodd, Lisa Carol |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 25th, 2015 |
Last updated | Dec 30th, 2015 - about 10 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 | 1225402480 | NPPES |
Georgia | MEDICAID | 58-2103386 |
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