Lisenby, Suzan Olivia
Lisenby, Suzan Olivia is an individual health care provider with primary practice located at 5301 Faraon St Ste 200 , Saint Joseph MO 64506-3829. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Lisenby, Suzan Olivia can be contacted via phone (816) 271-7673.Contact Information
Primary practice address
5301 Faraon St Ste 200
Saint Joseph MO 64506-3829
Phone: (816) 271-7673
Fax: (816) 271-4924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 11405437-1205 | Utah |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 2022033965 | Missouri |
Profile Details
| NPI number | 1629572771 |
|---|---|
| LBN Legal business name | Lisenby, Suzan Olivia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2018 |
| Last updated | Sep 7th, 2022 - about 2 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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