Greenway, Lisa A
Greenway, Lisa A is an individual health care provider with primary practice located at 8806 Coldwater Rd , Fort Wayne IN 46825-2715. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Greenway, Lisa A can be contacted via phone (260) 482-4327.Contact Information
Primary practice address
8806 Coldwater Rd
Fort Wayne IN 46825-2715
Phone: (260) 482-4327
Fax: (260) 482-4320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 23002271A | Indiana |
Profile Details
| NPI number | 1073599296 |
|---|---|
| LBN Legal business name | Greenway, Lisa A |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Aug 23rd, 2021 - about 3 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 | 1073599296 | NPPES |
| Indiana | MEDICAID | 200341310 |
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