Lysiak, Roger Edward

Lysiak, Roger Edward is an sole proprietor health care provider with primary practice located at 677 N 36Th St , Lafayette IN 47905-4475. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lysiak, Roger Edward can be contacted via phone (765) 346-3310.

Contact Information

Primary practice address
677 N 36Th St Lafayette IN 47905-4475
Phone: (765) 346-3310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08000790A Indiana

Profile Details

NPI number 1720324742
LBN Legal business name Lysiak, Roger Edward
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2012
Last updated Dec 19th, 2012 - about 13 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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