Lais, Rebecca Jane
Lais, Rebecca Jane is an sole proprietor health care provider with primary practice located at 2632 Cunningham Ave , Joplin MO 64804-1542. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Lais, Rebecca Jane can be contacted via phone (417) 623-3448.Contact Information
Primary practice address
2632 Cunningham Ave
Joplin MO 64804-1542
Phone: (417) 623-3448
Fax: (417) 623-3448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | N/A | Missouri |
Profile Details
| NPI number | 1467493502 |
|---|---|
| LBN Legal business name | Lais, Rebecca Jane |
| Credentials | OPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Feb 18th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467493502 | NPPES |
| Missouri | MEDICAID | 320412703 |
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