Gressel, Lisa W

Gressel, Lisa W is an individual health care provider with primary practice located at 119 E Fort St , Manchester TN 37355-1508. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gressel, Lisa W can be contacted via phone (931) 728-4477.

Contact Information

Primary practice address
119 E Fort St Manchester TN 37355-1508
Phone: (931) 728-4477
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0000000727 Tennessee

Profile Details

NPI number 1083763817
LBN Legal business name Gressel, Lisa W
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Aug 8th, 2011 - about 13 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 1083763817 NPPES
Tennessee MEDICAID 1509873
Tennessee Other 4191422

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