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
Phone: (406) 414-5700
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598798316 | NPPES |
Arizona | Other | P00457901 | RAILROAD MEDICARE |
Arizona | MEDICAID | 978992 | RAILROAD MEDICARE |
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