Ertzbischoff, Lisa Mayer

Ertzbischoff, Lisa Mayer is an individual health care provider with primary practice located at 5301 Mcauley Dr , Ypsilanti MI 48197-1051. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Ertzbischoff, Lisa Mayer can be contacted via phone (734) 712-3325.

Contact Information

Primary practice address
5301 Mcauley Dr Ypsilanti MI 48197-1051
Phone: (734) 712-3325
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 4704145345 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704145345 Michigan

Profile Details

NPI number 1528074549
LBN Legal business name Ertzbischoff, Lisa Mayer
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Oct 14th, 2016 - about 8 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 1528074549 NPPES
Michigan MEDICAID 4578813
Michigan Other 500F318190

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