Kulig, Lisa Diane

Kulig, Lisa Diane is an individual health care provider with primary practice located at 2615 Elk Dr Ste 1 , Minot ND 58701-1200. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Kulig, Lisa Diane can be contacted via phone (701) 839-4440.

Contact Information

Primary practice address
2615 Elk Dr Ste 1 Minot ND 58701-1200
Phone: (701) 839-4440
Fax: (701) 839-1911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2415 North Dakota

Profile Details

NPI number 1164910006
LBN Legal business name Kulig, Lisa Diane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2018
Last updated Aug 18th, 2020 - about 5 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 1164910006 NPPES
North Dakota MEDICAID PENDING

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