Henning, Lisa Marie

Henning, Lisa Marie is an individual health care provider with primary practice located at 218 Veretta Ct , Mchenry IL 60050. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Cardiopulmonary. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Henning, Lisa Marie can be contacted via phone (815) 385-1565.

Contact Information

Primary practice address
218 Veretta Ct Mchenry IL 60050
Phone: (815) 385-1565
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Cardiopulmonary 2251C2600X Illinois

Profile Details

NPI number 1770630634
LBN Legal business name Henning, Lisa Marie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 18 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 1770630634 NPPES
Illinois Other 05621331 BCBS
Illinois Other LH29800399P BCBS

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