Erikson, Lisa
Erikson, Lisa is an individual health care provider with primary practice located at 105 Ben Casey Drive Suite 127, Fort Mill SC 29708-8561. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Erikson, Lisa can be contacted via phone (803) 802-5855.Contact Information
Primary practice address
105 Ben Casey Drive Suite 127
Fort Mill SC 29708-8561
Phone: (803) 802-5855
Fax: (803) 802-5869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3453 | South Carolina |
Profile Details
| NPI number | 1801903661 |
|---|---|
| LBN Legal business name | Erikson, Lisa |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Aug 18th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801903661 | NPPES |
| South Carolina | MEDICAID | GP4586 |
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