Green, Lisa Ann
Green, Lisa Ann is an individual health care provider with primary practice located at 1304 N University Dr , Coral Springs FL 33071-6623. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Green, Lisa Ann can be contacted via phone (954) 977-0888.Contact Information
Primary practice address
1304 N University Dr
Coral Springs FL 33071-6623
Phone: (954) 977-0888
Fax: (954) 804-0933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH0006683 | Florida |
Profile Details
| NPI number | 1558349654 |
|---|---|
| LBN Legal business name | Green, Lisa Ann |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Jan 23rd, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558349654 | NPPES |
| Florida | MEDICAID | 380828900 |
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