Gross, Lisa Nicole
Gross, Lisa Nicole is an individual health care provider with primary practice located at 4410 Pennsylvania Ave Apt 4 , Kansas City MO 64111-3323. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Gross, Lisa Nicole can be contacted via phone (785) 766-5412.Contact Information
Primary practice address
4410 Pennsylvania Ave Apt 4
Kansas City MO 64111-3323
Phone: (785) 766-5412
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 24-00642 | Kansas |
Profile Details
NPI number | 1043458532 |
---|---|
LBN Legal business name | Gross, Lisa Nicole |
Credentials | Athletic Trainer, Certified (ATC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 22nd, 2009 |
Last updated | Jan 22nd, 2009 - about 16 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 | 1043458532 | NPPES |
Kansas | Other | 24-00642 | KANSAS STATE BOARD OF HEALING ARTS |
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