Lisak, David
Lisak, David is an sole proprietor health care provider with primary practice located at 42 Agua Sarca Rd , Placitas NM 87043-9404. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Lisak, David can be contacted via phone (617) 947-4119.Contact Information
Primary practice address
42 Agua Sarca Rd
Placitas NM 87043-9404
Phone: (617) 947-4119
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 6295 | Massachusetts |
Profile Details
| NPI number | 1629562269 |
|---|---|
| LBN Legal business name | Lisak, David |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2018 |
| Last updated | Jun 18th, 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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