Henricks, Lisa Cristol

Henricks, Lisa Cristol is an individual health care provider with primary practice located at 20823 Stevens Creek Blvd Suite #200, Cupertino CA 95014-2108. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Henricks, Lisa Cristol can be contacted via phone (408) 252-6076.

Contact Information

Primary practice address
20823 Stevens Creek Blvd Suite #200 Cupertino CA 95014-2108
Phone: (408) 252-6076
Fax: (408) 252-1159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT34928 California

Profile Details

NPI number 1215180450
LBN Legal business name Henricks, Lisa Cristol
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2008
Last updated Jul 2nd, 2012 - about 12 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 1215180450 NPPES
California Other PT34928 CALIFORNIA STATE LICENSE NUMBER

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