Gottfried, Lisa

Gottfried, Lisa is an sole proprietor health care provider with primary practice located at 49 Boone Village Suite #322, Zionsville IN 46077. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Gottfried, Lisa can be contacted via phone (219) 895-6103.

Contact Information

Primary practice address
49 Boone Village Suite #322 Zionsville IN 46077
Phone: (219) 895-6103
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1194186866
LBN Legal business name Gottfried, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2016
Last updated Mar 9th, 2016 - about 9 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 1194186866 NPPES
Indiana MEDICAID 1

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