Lisenbey, Edward Alan

Lisenbey, Edward Alan is an individual health care provider with primary practice located at 401 W Poplar St Psmmc Er, Walla Walla WA 99362-2846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lisenbey, Edward Alan can be contacted via phone (509) 522-5802.

Contact Information

Primary practice address
401 W Poplar St Psmmc Er Walla Walla WA 99362-2846
Phone: (509) 522-5802
Fax: (509) 522-5541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD60085902 Washington

Profile Details

NPI number 1538351606
LBN Legal business name Lisenbey, Edward Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2007
Last updated Jun 25th, 2014 - about 10 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 1538351606 NPPES
Oregon MEDICAID 500615356
Oregon MEDICAID 1538351606

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