Lisman, Ross

Lisman, Ross is an individual health care provider with primary practice located at 304 Beechwood Ln , San Dimas CA 91773-3605. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lisman, Ross can be contacted via phone (614) 205-8454.

Contact Information

Primary practice address
304 Beechwood Ln San Dimas CA 91773-3605
Phone: (614) 205-8454
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 32416 California

Profile Details

NPI number 1104375419
LBN Legal business name Lisman, Ross
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2016
Last updated Dec 21st, 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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