George, Lisa
George, Lisa is an sole proprietor health care provider with primary practice located at 1500 Wilson Loop , Ward AR 72176. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. George, Lisa can be contacted via phone (501) 941-5630.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT1587 | Arkansas |
Profile Details
| NPI number | 1700810355 |
|---|---|
| LBN Legal business name | George, Lisa |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Feb 3rd, 2020 - about 5 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 | 1700810355 | NPPES |
| Arkansas | Other | 5U632 | BLUE CROSS BLUE SHIELD |
| Arkansas | MEDICAID | 128140721 | BLUE CROSS BLUE SHIELD |
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