Huseboe, Lisa Kay

Huseboe, Lisa Kay is an individual health care provider with primary practice located at 10650 W State Road 84 Ste 208 , Davie FL 33324-4235. She recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as her primary health care specialty. Huseboe, Lisa Kay can be contacted via phone (954) 424-4240.

Contact Information

Primary practice address
10650 W State Road 84 Ste 208 Davie FL 33324-4235
Phone: (954) 424-4240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X CH6941 Florida

Profile Details

NPI number 1871085084
LBN Legal business name Huseboe, Lisa Kay
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2018
Last updated Jun 4th, 2018 - about 6 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 1871085084 NPPES
Florida MEDICAID PENDING
Florida Other PENDING

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