Ingold, Lisa M

Ingold, Lisa M is an individual health care provider with primary practice located at 1605 G St , Springfield OR 97477-4227. 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. Ingold, Lisa M can be contacted via phone (541) 747-6159.

Contact Information

Primary practice address
1605 G St Springfield OR 97477-4227
Phone: (541) 747-6159
Fax: (541) 741-7249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00654 Oregon

Profile Details

NPI number 1538147053
LBN Legal business name Ingold, Lisa M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 21st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538147053 NPPES
Oregon MEDICAID 1538147053

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