Lisenby, Cathy Diane
Lisenby, Cathy Diane is an individual health care provider with primary practice located at 2 Good Samaritan Way , Mount Vernon IL 62864-2408. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lisenby, Cathy Diane can be contacted via phone (618) 899-4000.Contact Information
Primary practice address
2 Good Samaritan Way
Mount Vernon IL 62864-2408
Phone: (618) 899-4000
Fax: (618) 899-4790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0850001397 | Illinois |
Profile Details
| NPI number | 1346356524 |
|---|---|
| LBN Legal business name | Lisenby, Cathy Diane |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Dec 18th, 2020 - about 4 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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