Gainer, Lisa Michelle

Gainer, Lisa Michelle is an sole proprietor health care provider with primary practice located at 13 S High St , Morgantown WV 26501-7546. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gainer, Lisa Michelle can be contacted via phone (304) 624-6554.

Contact Information

Primary practice address
13 S High St Morgantown WV 26501-7546
Phone: (304) 624-6554
Fax: (304) 624-5223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X West Virginia

Profile Details

NPI number 1356597470
LBN Legal business name Gainer, Lisa Michelle
Credentials ED.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2008
Last updated Aug 8th, 2008 - about 16 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 1356597470 NPPES
West Virginia MEDICAID 3810001018

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