Faska, Lisa M
Faska, Lisa M is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935. 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. Faska, Lisa M can be contacted via phone (920) 923-7940.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5947-024 | Wisconsin |
Profile Details
| NPI number | 1487697140 |
|---|---|
| LBN Legal business name | Faska, Lisa M |
| Credentials | PT, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Aug 16th, 2007 - about 17 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 | 1487697140 | NPPES |
| Wisconsin | MEDICAID | 40340200 |
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