Jack, Lisa

Jack, Lisa is an individual health care provider with primary practice located at 8625 E 37Th St N Ste 101 , Wichita KS 67226-2008. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jack, Lisa can be contacted via phone (316) 648-8545.

Contact Information

Primary practice address
8625 E 37Th St N Ste 101 Wichita KS 67226-2008
Phone: (316) 648-8545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1053041830
LBN Legal business name Jack, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2022
Last updated Jun 14th, 2022 - about 3 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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