Kruitbosch, Lisa Marie

Kruitbosch, Lisa Marie is an individual health care provider with primary practice located at 900 Price St , Pismo Beach CA 93449-2534. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Kruitbosch, Lisa Marie can be contacted via phone (805) 773-2324.

Contact Information

Primary practice address
900 Price St Pismo Beach CA 93449-2534
Phone: (805) 773-2324
Fax: (805) 773-2327
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X ABO145453 California

Profile Details

NPI number 1578918728
LBN Legal business name Kruitbosch, Lisa Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2016
Last updated Apr 25th, 2016 - about 8 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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