Dove, Lisa A

Dove, Lisa A is an individual health care provider with primary practice located at 2303 Village Dr , Saint Joseph MO 64506-4954. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Dove, Lisa A can be contacted via phone (816) 232-6818.

Contact Information

Primary practice address
2303 Village Dr Saint Joseph MO 64506-4954
Phone: (816) 232-6818
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 118517 Missouri

Profile Details

NPI number 1851417646
LBN Legal business name Dove, Lisa A
Credentials RN, CS, PNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Feb 2nd, 2021 - about 4 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 1851417646 NPPES
Missouri MEDICAID 425053709

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