Gushwa, Lisa Lee

Gushwa, Lisa Lee is an individual health care provider with primary practice located at 935 Highland Blvd Ste 2200 , Bozeman MT 59715-6915. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gushwa, Lisa Lee can be contacted via phone (406) 414-5700.

Contact Information

Primary practice address
935 Highland Blvd Ste 2200 Bozeman MT 59715-6915
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34251 Arizona

Profile Details

NPI number 1598798316
LBN Legal business name Gushwa, Lisa Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 5th, 2021 - about 4 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 1598798316 NPPES
Arizona Other P00457901 RAILROAD MEDICARE
Arizona MEDICAID 978992 RAILROAD MEDICARE

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