Gosselin, Lisa Rackliffe

Gosselin, Lisa Rackliffe is an individual health care provider with primary practice located at 2 Industrial Park Drive , Concord NH 03301. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Gosselin, Lisa Rackliffe can be contacted via phone (603) 224-9043.

Contact Information

Primary practice address
2 Industrial Park Drive Concord NH 03301
Phone: (603) 224-9043
Fax: (603) 228-2133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 063-0000118 Vermont
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A448 New Hampshire

Profile Details

NPI number 1528080660
LBN Legal business name Gosselin, Lisa Rackliffe
Credentials MS,CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated May 13th, 2013 - about 12 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 1528080660 NPPES
Vermont MEDICAID 1010959
Vermont MEDICAID 30436067

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