Markesino Van Wormer, Lisa Marie

Markesino Van Wormer, Lisa Marie is an sole proprietor health care provider with primary practice located at 3623 Dorshire Ct , Pasadena MD 21122-6457. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Markesino Van Wormer, Lisa Marie can be contacted via phone (912) 980-7920.

Contact Information

Primary practice address
3623 Dorshire Ct Pasadena MD 21122-6457
Phone: (912) 980-7920
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1518263607
LBN Legal business name Markesino Van Wormer, Lisa Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2011
Last updated Feb 7th, 2011 - about 14 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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