Kerich, Lisa Ann

Kerich, Lisa Ann is an individual health care provider with primary practice located at 5204 Colleyville Boulevard , Colleyville TX 76034. 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. Kerich, Lisa Ann can be contacted via phone (817) 369-3300.

Contact Information

Primary practice address
5204 Colleyville Boulevard Colleyville TX 76034
Phone: (817) 369-3300
Fax: (817) 581-6127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00181 Texas

Profile Details

NPI number 1316977234
LBN Legal business name Kerich, Lisa Ann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Dec 20th, 2018 - about 7 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 1316977234 NPPES
Texas Other 1023145 NCCPA
Texas Other 803N51 NCCPA
Texas MEDICAID 205392801 NCCPA
Texas Other P00956844 NCCPA

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