Hobby, Lisa M

Hobby, Lisa M is an individual health care provider with primary practice located at 450 Mountain View St , Powell WY 82435-2212. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hobby, Lisa M can be contacted via phone (307) 754-7257.

Contact Information

Primary practice address
450 Mountain View St Powell WY 82435-2212
Phone: (307) 754-7257
Fax: (307) 754-7217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 141 Wyoming

Profile Details

NPI number 1669461968
LBN Legal business name Hobby, Lisa M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
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 1669461968 NPPES
Wyoming Other P00005496 RAILROAD MEDICARE
Wyoming Other 312011 RAILROAD MEDICARE
Wyoming MEDICAID 4300609 RAILROAD MEDICARE

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