Kollasch Parker, Lisa K

Kollasch Parker, Lisa K is an individual health care provider with primary practice located at 800 Mercy Dr , Council Bluffs IA 51503-3128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kollasch Parker, Lisa K can be contacted via phone (712) 328-5230.

Contact Information

Primary practice address
800 Mercy Dr Council Bluffs IA 51503-3128
Phone: (712) 328-5230
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A111561 Iowa

Profile Details

NPI number 1306897863
LBN Legal business name Kollasch Parker, Lisa K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Feb 26th, 2024 - about 10 months 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 1306897863 NPPES
Iowa Other 236904 MIDLAND CHOICE FOR IOWA
Iowa MEDICAID 0458653 MIDLAND CHOICE FOR IOWA
Iowa MEDICAID 100251147-00 MIDLAND CHOICE FOR IOWA
Iowa Other 37715 MIDLAND CHOICE FOR IOWA
Iowa Other 38588 MIDLAND CHOICE FOR IOWA
Iowa Other P00201286 MIDLAND CHOICE FOR IOWA

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