Edeal, Lisa A

Edeal, Lisa A is an individual health care provider with primary practice located at 2200 H St , Fairbury NE 68352-1119. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Edeal, Lisa A can be contacted via phone (402) 729-6846.

Contact Information

Primary practice address
2200 H St Fairbury NE 68352-1119
Phone: (402) 729-6846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 641 Nebraska

Profile Details

NPI number 1548417298
LBN Legal business name Edeal, Lisa A
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2008
Last updated Dec 28th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548417298 NPPES
Nebraska MEDICAID 10025484200

Popular Providers