Goggins, Lisa

Goggins, Lisa is an sole proprietor health care provider with primary practice located at 333 E 142Nd St , Dolton IL 60419-1109. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Goggins, Lisa can be contacted via phone (708) 849-9848.

Contact Information

Primary practice address
333 E 142Nd St Dolton IL 60419-1109
Phone: (708) 849-9848
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1659881027
LBN Legal business name Goggins, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2017
Last updated Oct 11th, 2017 - about 7 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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