Doverspike, Lisa Kristine

Doverspike, Lisa Kristine is an individual health care provider with primary practice located at 129 Oneida Valley Rd Ste 310 , Butler PA 16001-2252. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Doverspike, Lisa Kristine can be contacted via phone (617) 851-6197.

Contact Information

Primary practice address
129 Oneida Valley Rd Ste 310 Butler PA 16001-2252
Phone: (617) 851-6197
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Pennsylvania

Profile Details

NPI number 1134170475
LBN Legal business name Doverspike, Lisa Kristine
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jan 5th, 2018 - about 7 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 1134170475 NPPES
Pennsylvania MEDICAID 103181495-0001

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