Eckhoff, Lisa M

Eckhoff, Lisa M is an individual health care provider with primary practice located at 245 W Mckinley St , Owatonna MN 55060-3720. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Eckhoff, Lisa M can be contacted via phone (507) 213-9997.

Contact Information

Primary practice address
245 W Mckinley St Owatonna MN 55060-3720
Phone: (507) 213-9997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H4574 Minnesota

Profile Details

NPI number 1699818831
LBN Legal business name Eckhoff, Lisa M
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jul 9th, 2007 - about 18 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 1699818831 NPPES
Minnesota MEDICAID 2966901011

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