Kearns, Lisa Marie Roshetsky

Kearns, Lisa Marie Roshetsky is an individual health care provider with primary practice located at 660 London Ave Ste A , Marysville OH 43040-1515. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kearns, Lisa Marie Roshetsky can be contacted via phone (937) 642-1550.

Contact Information

Primary practice address
660 London Ave Ste A Marysville OH 43040-1515
Fax: (937) 578-2821
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD040679 District of Columbia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35093936 Ohio

Profile Details

NPI number 1891815320
LBN Legal business name Kearns, Lisa Marie Roshetsky
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jan 6th, 2023 - about last year

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 1891815320 NPPES
Ohio MEDICAID 2966401

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